KATHLEEN URBAN DEHORN (NPI# 1215143797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215143797 |
| Entity Type | Individual |
| Full Name | KATHLEEN URBAN DEHORN |
| Credential | MD |
| Practice Address |
2505 East Paris Ave Se Ste 100 Grand Rapids MI 49546-6100 |
| Mailing Address |
2505 E Paris Ave Se Ste 100 Grand Rapids MI 49546-6100 |
| Practice Telephone | 6162851200 |
| Practice Fax Number | 6169400864 |
| Mailing Telephone | (616) 285-1200 |
| Mailing Fax Number | 6169400864 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2017-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 258069 | NY | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 4301083642 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2505 EAST PARIS AVE SE STE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1609212208 | Mary Jia Ling Lim | Ophthalmology | 35 Michigan St Ne Ste 5101, Grand Rapids, MI 49503-2529 | 2013-05-22 |
| 1194894055 | Michael Debre' Harrison | Ophthalmology | 435 Cherry St Se, Grand Rapids, MI 49503-4672 | 2006-11-07 |
| 1194753186 | Thomas Marshall Aaberg Jr. | Ophthalmology | 5030 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-06-29 |
| 1699703470 | Danny D Wang | Ophthalmology | 2727 E Beltline Ave Ne, Suite 101, Grand Rapids, MI 49525-9611 | 2006-06-29 |
| 1710913926 | Vitreo-retinal Associates P.C. | Ophthalmology | 2505 East Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 | 2006-06-23 |
| 1255371647 | Jeffrey Daniel Zheutlin | Ophthalmology | 2505 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 | 2006-06-07 |
| 1972552628 | Patrick Joseph Droste | Ophthalmology | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-05-09 |
| 1598727935 | Elizabeth H Henry | Ophthalmology | 791 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546-8625 | 2006-04-03 |
| 1023082880 | Melissa Lynn Meldrum | Ophthalmology | 2757 Leonard St Ne, Suite 300, Grand Rapids, MI 49525-5807 | 2006-02-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.