DR. RUDOLPH GARZA (NPI# 1023234754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023234754 |
| Entity Type | Individual |
| Full Name | DR. RUDOLPH GARZA |
| Credential | PLC |
| Practice Address |
1152 Burton St Se Grand Rapids MI 49507-3359 |
| Mailing Address |
1152 Burton Se Grand Rapids MI 49507 |
| Practice Telephone | 6164757830 |
| Mailing Telephone | 6164757830 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
23010005627 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 2301005627 | 01 |
| Street Address |
1152 BURTON ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932281565 | Paula Lynette Hawkins-guy | Occupational Therapist | 1152 Burton St Se, Grand Rapids, MI 49507-3359 | 2006-10-20 |
| 1437226545 | Rehabilitation Restoration Relazation Station Inc. | Clinic/Center | 1152 Burton St Se, Grand Rapids, MI 49507-3359 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| Find all providers in zip 49507 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154574028 | Gerard Edward Farage | Chiropractor | 1715 4 Mile Rd Ne, Grand Rapids, MI 49525-2440 | 2008-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801205745 | Procare Injury & Rehab Centers LLC | Chiropractor | 1289 S Linden Rd, Ste A, Flint, MI 48532-3499 | 2014-08-05 |
| 1598030728 | Roberts Chiropractic Life Center, Pllc | Chiropractor | 13301 Reeck Ct Ste 1a, Southgate, MI 48195-3054 | 2012-03-21 |
| 1255689782 | Pointes Chiropractic Clinic Inc | Chiropractor | 15761 Mack Ave, Detroit, MI 48224-3479 | 2012-08-15 |
| 1053618645 | Dr Deana Lajiness Dc LLC | Chiropractor | 2909 Walton Blvd, Rochester Hills, MI 48309-1419 | 2011-02-17 |
| City | GRAND RAPIDS |
| Zip Code | 49507 |
Please comment or provide details below to improve the information on DR. RUDOLPH GARZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.