THEODORE DALE BARBER (NPI# 1083739205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083739205 |
| Entity Type | Individual |
| Full Name | THEODORE DALE BARBER |
| Credential | M.D. |
| Practice Address |
25 Michigan St Ne Ste 3300 Grand Rapids MI 49503-2558 |
| Mailing Address |
Po Box 94670 Oklahoma City OK 73143-4670 |
| Practice Telephone | 6164594171 |
| Practice Fax Number | 6164590044 |
| Mailing Telephone | 8883172911 |
| Mailing Fax Number | 4057928910 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 4301079960 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
25 MICHIGAN ST NE STE 3300 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316049398 | Tamara Ann Houseman | Physical Therapist | 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2558 | 2006-09-01 |
| 1760034607 | Jonathan Edward Bradd | Nurse Practitioner | 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2558 | 2019-07-11 |
| 1700385317 | Jennifer Grace Pearson | Physician Assistant | 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2558 | 2018-02-08 |
| 1558672998 | David Louis Weatherly | Surgery | 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2558 | 2010-06-30 |
| 1104089986 | Jannah Hilary Thompson | Urology | 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2558 | 2008-07-02 |
| 1497849020 | Darcy J Hoppman | Physical Therapist | 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2558 | 2006-10-03 |
| 1467545012 | Roberta K Clements | Physical Therapy Assistant | 25 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2558 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| 1003013392 | Erik M Ratchford | Urology | 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 | 2007-06-29 |
| 1255537056 | Naveed Naeem | Urology | 161 Ottawa Ave Nw Ste 300, Grand Rapids, MI 49503-2701 | 2007-06-27 |
| 1467561480 | Urology Surgeons PC | Urology | 1000 E Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 | 2006-08-30 |
| 1467497495 | John Harrison Kopchick | Urology | 2240 Teal Ct Se, Grand Rapids, MI 49546-7939 | 2006-06-16 |
| 1093755092 | Richard Kahnoski | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2006-06-07 |
| 1376501502 | Thomas J Maatman | Urology | 4047 E. Hills Court Se, Grand Rapids, MI 49546-6249 | 2006-05-04 |
| 1972596823 | Russell K Lawson | Urology | 1601 Golf Course Road, Grand Rapids, MN 55744 | 2005-08-25 |
| 1366853293 | Conrad Maxwell Tobert | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2014-05-14 |
| 1528403235 | George Michael Ghareeb | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2013-05-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.