PETER E SICES (NPI# 1245212893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245212893 |
| Entity Type | Individual |
| Full Name | PETER E SICES |
| Credential | MD |
| Practice Address |
235 Wealthy St Se Grand Rapids MI 49503-5247 |
| Mailing Address |
36123 Schoolcraft Livonia MI 48150-1216 |
| Practice Telephone | 7347936140 |
| Mailing Telephone | 7347936140 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301098767 | MI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 01053431A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | TAX IDENTIFICATION | 200479394 | 01 |
| MI | LICENSE | 4301099867 | 01 |
| IN | 200308650B | 05 |
| Street Address |
235 WEALTHY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756632 | Rebecca Lynn Grier | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-10-01 |
| 1225643208 | Jessica Evans | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-09-15 |
| 1114547544 | Jenae Swiercz | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-04-27 |
| 1740847193 | Jennifer Carrier-masse | Nurse Practitioner | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-05-21 |
| 1598220402 | Kimberley Joy Paszkowski | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-02-05 |
| 1659843795 | Marissa Korodan | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-31 |
| 1750853081 | Lindsey Riker | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1407328727 | Melanie Truer | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1730651068 | Megan Stasiak | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1104398536 | Shana Joy Holda | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-25 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972098242 | Iman Qaiser | Internal Medicine | 200 Jefferson Ave Se Bldg Ste 305, Grand Rapids, MI 49503-4502 | 2018-06-28 |
| 1477048437 | Angelea Young Heider | Internal Medicine | 25 Michigan St Ne Ste 210, Grand Rapids, MI 49503-2515 | 2018-06-22 |
| 1386165942 | Sheda Monfared Beheshti | Internal Medicine | 300 Lafayette Ave Se Ste 3000, Grand Rapids, MI 49503-4692 | 2017-07-03 |
| 1831571389 | David Bryska | Internal Medicine | 300 Lafayette Ave Se # 3000, Grand Rapids, MI 49503-4692 | 2015-06-22 |
| 1104238484 | Andrea Landon | Internal Medicine | 2144 E Paris Ave Se # 200, Grand Rapids, MI 49546-6111 | 2014-05-21 |
| 1669813259 | Ruchira Sengupta | Internal Medicine | 100 Michigan St Ne # Mc031, Grand Rapids, MI 49503-2560 | 2013-07-10 |
| 1740595735 | Anas Ahmad | Internal Medicine | 1959 East Paris Ave S.e., Grand Rapids, MI 49546 | 2010-08-13 |
| 1871805895 | Spectrum Health Primary Care Partners | Internal Medicine | 4444 Kalamazoo Ave Sw, Suite 200, Grand Rapids, MI 49508 | 2010-07-07 |
| 1538489828 | Randall W. Green Md PC | Internal Medicine | 4070 Lake Dr Se Ste 201, Grand Rapids, MI 49546-8294 | 2010-06-09 |
| 1114120771 | David Chi Ming Shen | Internal Medicine | 310 Lafayette Se, Ste 415, Grand Rapids, MI 49503 | 2007-06-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on PETER E SICES.
| 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.