WENDY THOMAS BROWN (NPI# 1053398412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053398412 |
| Entity Type | Individual |
| Full Name | WENDY THOMAS BROWN |
| Other Name | WENDY ANN THOMAS BROWN |
| Credential | MD |
| Practice Address |
3264 N Evergreen Dr Ne Grand Rapids MI 49525-9746 |
| Practice Telephone | 6163637272 |
| Practice Fax Number | 6163615828 |
| Mailing Telephone | 6163637272 |
| Mailing Fax Number | 6163615828 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
4301501891 | MI | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
0101052989 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301501891 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101052989 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
40286 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VA PREMIER HEALTH PLAN | 1053398412 | 01 |
| NC | BCBSNC | 180AF | 01 |
| VA | RAILROAD MEDICARE | P01206178 | 01 |
| VA | OPTIMA HEALTH PLAN | 10110018 | 01 |
| VA | 1053398412 | 05 | |
| VA | BCBSVA | 139178 | 01 |
| VA | AETNA HEALTHCARE | 5512875 | 01 |
| NC | 1053398412 | 05 | |
| VA | SENTARA HEALTH PLAN | 10110018 | 01 |
| VA | TRICARE PRIME NETWORK | 1053398412 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930954 | Wendy Brown | Registered Nurse | 2202 Ruby Dr, Texas City, TX 77591-1407 | 2019-03-06 |
| 1770984429 | Wendy Brown | Physical Therapist | 10575 Katy Fwy Ste 244, Houston, TX 77024-1097 | 2014-09-12 |
| 1104164920 | Wendy Brown | Dentist | 10400 Shaker Dr, Columbia, MD 21046-1194 | 2013-01-29 |
| 1558605030 | Wendy Undeberg Brown | Physical Therapist | 125 S Conway Pl, Kennewick, WA 99336-3159 | 2012-11-21 |
| 1225332513 | Wendy Lynne Brown | Massage Therapist | 2024 Leandra Ln, Fort Worth, TX 76131-1247 | 2011-01-01 |
| 1215230917 | Wendy Alleen Brown | Counselor | 2000 West Pioneer Parkway, Suite 20, Peoria, IL 61615-5850 | 2010-12-19 |
| 1639201155 | Wendy Anne Brown | Chiropractor | 3615 Franklin Rd Sw, Roanoke, VA 24014-2203 | 2007-03-10 |
| 1285780718 | Wendy En-lok Brown | Psychiatry & Neurology | 2 Medical Plaza Dr Ste 205, Roseville, CA 95661 | 2007-01-26 |
| 1447365978 | Wendy M. Brown | Counselor | 80 Park Street, Montclair, NJ 07042-9999 | 2006-08-21 |
| 1154349983 | Wendy Sterne Brown | Marriage & Family Therapist | 32123 Lindero Canyon Rd, Suite 202, Westlake Village, CA 91361-4204 | 2006-07-18 |
| Street Address |
3264 N EVERGREEN DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081649 | Jay A Harolds | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2005-05-24 |
| 1932768058 | Spartan Radiology, Inc | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2019-06-12 |
| 1346737970 | Laura Lynn Phillips | Nurse Practitioner | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-04-19 |
| 1457724965 | Kwabea E Agbley | Physician Assistant | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2015-11-05 |
| 1104293646 | Lauren R Haskin | Physician Assistant | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 | 2015-09-01 |
| 1356743959 | Alicia Hock | Nurse Practitioner | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2014-09-25 |
| 1063821056 | Jeanette Lynn Quick | Nurse Practitioner | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2014-08-05 |
| 1881006823 | David Mitchell | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2014-05-26 |
| 1811308588 | Michael Thomas Johnson | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2014-05-15 |
| 1699185561 | Michael Vincent Perone | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2014-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922256270 | Maryam Ghadimi Mahani | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2008-08-28 |
| 1215191325 | Jamie L Frost | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2008-07-17 |
| 1851596654 | Matthew E Christy | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851418990 | Anastasia Louise Hryhorczuk | Radiology | 1500 E Medical Center Dr Fl 3, Ann Arbor, MI 48109-5000 | 2007-03-23 |
| 1962583112 | Moon-chul Kim | Radiology | 1764 Stonebridge Dr S, Ann Arbor, MI 48108-8569 | 2006-10-17 |
| 1205916095 | Kathleen M Gebarski | Radiology | 1500 E Medical Center Dr, 3rd Floor Recp. A, Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 | 2006-10-16 |
| 1841761566 | Susan Mosier Hamman | Radiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-12-06 |
| 1073807293 | Scott J Baker | Radiology | 3901 Beaubien St Fl 2, Detroit, MI 48201-2119 | 2011-06-06 |
| 1700185246 | Karyn Alayne Ledbetter | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-03-23 |
| 1437363066 | Rachel M Vanhulle | Radiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2007-05-10 |
| 1689742322 | Denise D. Collins | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-01 |
| 1568530202 | Gauravi Sabharwal | Radiology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-01 |
| 1467533448 | Peter J Strouse | Radiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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| 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.