GRAND RIVER GASTROENTEROLOGY PC (NPI# 1164470472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164470472 |
| Entity Type | Organization |
| Organization Name | GRAND RIVER GASTROENTEROLOGY PC |
| Practice Address |
310 Lafayette Ave Se Suite 400 Grand Rapids MI 49503-4693 |
| Practice Telephone | 6167526525 |
| Practice Fax Number | 6167526556 |
| Mailing Telephone | 6167526525 |
| Mailing Fax Number | 6167526556 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-07-11 |
| Authorized Official Name | TINA M KORTZ (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6167526832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
310 LAFAYETTE AVE SE SUITE 400 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043829 | William Gene Heeringa | Specialist | 310 Lafayette Ave Se, Ste 400, Grand Rapids, MI 49503-4693 | 2005-06-20 |
| 1447788534 | Grand Anesthesia Pllc | Anesthesiology | 310 Lafayette Ave Se, Grand Rapids, MI 49503-4693 | 2017-06-01 |
| 1467905133 | Tiffany D Rebandt | Nurse Practitioner | 310 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503 | 2016-07-29 |
| 1073966628 | Orena J Kirchner | Nurse Practitioner | 310 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503-4693 | 2016-07-19 |
| 1730538489 | Michelle Webb | Nurse Practitioner | 310 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503-4693 | 2016-06-03 |
| 1114395803 | Lucy Ledesma | Nurse Practitioner | 310 Lafayette Ave Se, Ste 410, Grand Rapids, MI 49503-4693 | 2015-09-11 |
| 1598140303 | Faith Van Oss | Nurse Practitioner | 310 Lafayette Ave Se, Ste 415, Grand Rapids, MI 49503-4693 | 2015-07-22 |
| 1225464555 | Beth Stevenson | Nurse Practitioner | 310 Lafayette Ave Se, Suite 301, Grand Rapids, MI 49503-4693 | 2013-09-18 |
| 1578859542 | Michelle Kosovec | Surgery | 310 Lafayette Ave Se, Suite 301, Grand Rapids, MI 49503-4693 | 2011-06-28 |
| 1942524020 | Anamaria Bianca Bondici | Internal Medicine | 310 Lafayette Ave Se, Ste 410, Grand Rapids, MI 49503-4693 | 2010-03-18 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1164874210 | Joshua Baron | Specialist | 2238 Godwin Ave Se, Grand Rapids, MI 49507-3130 | 2016-07-12 |
| 1396121620 | Kum Cha Monroe | Specialist | 4594 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525-1646 | 2015-08-10 |
| 1538545132 | Lisa K. Townsend | Specialist | 1135 Walker Ave Nw, Grand Rapids, MI 49504-4062 | 2015-08-05 |
| 1992025464 | Cari L Brooks | Specialist | 1490 East Beltline Ave Se, Hope Network, Grand Rapids, MI 49506-4336 | 2010-06-08 |
| 1588840854 | Exalta Health | Specialist | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2008-01-16 |
| 1114128097 | Rumana Awan | Specialist | 1505 3 Mile Rd. N.w., Ste. B, Grand Rapids, MI 49544 | 2007-05-30 |
| 1942410931 | Michelle Terrell | Specialist | 1550 Three Mile Rd Nw Suite B, Grand Rapids, MI 49544 | 2007-05-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on GRAND RIVER GASTROENTEROLOGY PC.
| 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.