Thomas Paul Gushurst in Portage - Gastroenterology
Thomas Paul Gushurst - NPI 1912962838
Thomas Paul Gushurst is a Gastroenterology in Portage, Michigan. Thomas Paul Gushurst practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Thomas Paul Gushurst is 1912962838. The last update date is 2014-12-12.
Thomas Paul Gushurst's current location address is 3304 Cooley Ct, Portage, Michigan. You can contact this provider via phone number 2693492266 and fax number 2693490792. The mailing address for Thomas Paul Gushurst is 3304 Cooley Ct, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Paul Gushurst |
|---|---|
| Address | 3304 Cooley Ct, Portage, Michigan |
| Phone Number | 2693492266 |
| Fax Number | 2693490792 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912962838 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2014-12-12 |
Provider Mailing Address Detail
| Address | 3304 Cooley Ct |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490247430 |
| Phone Number | 2693492266 |
| Fax Number | 2693490792 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | TG054920 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0M92920002 | MI | MEDICARE | |
| 1851569958 | MI | NPI 04/25/2008 AND AFTER | |
| 1912962838 | MI | NPI | |
| 0P56360002 | MI | MEDICARE 04/25/2008 | |
| 100C914640 | MI | BCBS 04/25/2008 AND AFTER | |
| 1013972926 | MI | -- | |
| 104717140 | MI | -- | |
| 100C910690 | MI | BCBSM | |
| 1417961137 | MI | BCBSM - BRONSON | |
| 383309299136 | MI | CARESOURCE MEDICAID |
Post Comment/ Review Below
What is the Thomas Paul Gushurst's 1912962838?
The Thomas Paul Gushurst's NPI (National Provider Identifier) Number is 1912962838. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Thomas Paul Gushurst?
The Thomas Paul Gushurst is physically situated at 3304 Cooley Ct, in the city of Portage, state of MI, with the postal code 490247430.
What is Thomas Paul Gushurst's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thomas Paul Gushurst is Gastroenterology, and the corresponding taxonomy classification code for this specialized field is 207Rg0100X.
On what date was the 1912962838 assigned to Thomas Paul Gushurst?
The Thomas Paul Gushurst was issued its 1912962838 on 2006-04-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Thomas Paul Gushurst, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas Paul Gushurst, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-12-12.
NPI Number: 1952305922
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