RONALD G SHOOK (NPI# 1114141710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114141710 |
| Entity Type | Individual |
| Full Name | RONALD G SHOOK |
| Credential | DO |
| Practice Address |
2332 Alpine Ave Nw Grand Rapids MI 49544-1955 |
| Mailing Address |
100 Michigan St Ne Mc 109 Attn Julie L Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163916220 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5101015954 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TAX ID | 381360529 | 01 |
| Street Address |
2332 ALPINE AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477534642 | Ginger K Biesbrock | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2005-11-07 |
| 1154832160 | Jordan Blake Ashdown | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2017-10-17 |
| 1184142556 | Adrienne R Cook | Nurse Practitioner | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2017-09-06 |
| 1861928178 | Heidi Draft-peppin | Social Worker | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2017-05-05 |
| 1215484324 | Danielle Lobdell | Nurse Practitioner | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2016-09-07 |
| 1447685896 | Spectrum Health Primary Care Partners | Family Medicine | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2013-09-04 |
| 1518209725 | Spectrum Health Hospitals | Emergency Medicine | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2013-03-26 |
| 1538401740 | Spectrum Health Primary Care Partners | Emergency Medicine | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2013-03-26 |
| 1366788515 | Blair Anthony Stepp | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2012-12-17 |
| 1962717850 | My Tu Ly | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2010-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912427402 | Stephen Gunnink | Pediatrics | 100 Michigan St. Se, Grand Rapids, MI 49503-2527 | 2017-06-26 |
| 1003336595 | Cory Minier Schmidt | Pediatrics | 330 Barclay Ave Ne Ste 330, Grand Rapids, MI 49503-2556 | 2017-06-26 |
| 1093165144 | David Jacob Hoogstra | Pediatrics | 100 Michigan St Ne # Mc085, Grand Rapids, MI 49503-2560 | 2016-06-20 |
| 1063895845 | Megan Elizabeth Conway | Pediatrics | 100 Michigan St Ne # Mc13, Grand Rapids, MI 49503-2560 | 2015-06-30 |
| 1205188653 | Vernon D. Vaandrager | Pediatrics | 3760 Ravine Vista Dr. Se, Grand Rapids, MI 49508-8867 | 2012-10-10 |
| 1386907491 | Jennifer Christine Curtis | Pediatrics | 35 Michigan St Ne Ste 5301, Grand Rapids, MI 49503-2530 | 2012-06-22 |
| 1942597729 | Miranda Louise Hillard | Pediatrics | 330 Barclay, Suite 300, Grand Rapids, MI 49503-2527 | 2011-06-30 |
| 1942509278 | Julie Ann Kirby | Pediatrics | 100 Michigan St Ne # Mc169, Grand Rapids, MI 49503-2560 | 2011-03-25 |
| 1306156443 | Spectrum Health Primary Care Partners | Pediatrics | 545 Michigan St Ne, Suite 203, Grand Rapids, MI 49503-5727 | 2010-10-07 |
| 1649583675 | Cheryl Lynn Dyksen | Pediatrics | 100 Michigan St Ne # 13, Grand Rapids, MI 49503-2560 | 2010-07-19 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
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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.