KEVIN L VANALLEN (NPI# 1154373249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154373249 |
| Entity Type | Individual |
| Full Name | KEVIN L VANALLEN |
| Credential | MD |
| Practice Address |
15100 Whittaker Way Grand Haven MI 49417-8696 |
| Mailing Address |
100 Michigan St Ne Mc 845 Attn Sharon H Grand Rapids MI 49503-2560 |
| Practice Telephone | 6169356200 |
| Mailing Telephone | 6163916220 |
| Mailing Fax Number | 6163916218 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301053221 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0804103371 | 01 |
| MI | 4770001 | 05 | |
| MI | 4770010 | 05 | |
| MI | 4770020 | 05 | |
| MI | 4773952 | 05 | |
| MI | GROUP NPI | 1598712390 | 01 |
| MI | 4773881 | 05 |
| Street Address |
15100 WHITTAKER WAY |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-8696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303117 | Thomas F. Alguire | Internal Medicine | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2005-06-01 |
| 1417581265 | River A David | Physician Assistant | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2020-03-02 |
| 1003458423 | Kelly Lynn Ouellette | Occupational Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2019-10-17 |
| 1114570595 | Ciera Marie Grevengoed | Physical Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2019-07-24 |
| 1720547250 | Karoline Luise Arsenault | Physician Assistant | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2019-03-14 |
| 1922566462 | Cara Ashni Schipper | Occupational Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2019-03-04 |
| 1942778915 | Rachael Joymarie Scoby | Speech-Language Pathologist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-11-08 |
| 1447727326 | Laura Lynn Rohrs | Nurse Practitioner | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-10-29 |
| 1194209247 | Melissa Lynn Lewandowski | Physical Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-09-24 |
| 1659853182 | Brandi Sue Brower | Social Worker | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710281266 | Lloyd Scott Rotz | General Practice | 15517 Winchester Cir, Grand Haven, MI 49417-8338 | 2010-12-27 |
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| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
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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.