KEVIN BRADLEY LODEWYK (NPI# 1255851952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255851952 |
| Entity Type | Individual |
| Full Name | KEVIN BRADLEY LODEWYK |
| Credential | MD |
| Practice Address |
221 Michigan St Ne Ste 402 Grand Rapids MI 49503-2538 |
| Practice Telephone | (616) 391-1929 |
| Mailing Telephone | 6163911929 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301112664 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
221 MICHIGAN ST NE STE 402 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366799124 | Marci Anne Bartholomew | Orthopaedic Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2012-08-11 |
| 1669967873 | Hordur Mar Kolbeinsson | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1770078982 | Maxwell James Otto | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1437644655 | Gregory Dane Fritz | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1780179903 | Nathan Joseph-rudolph Winkler | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1023503240 | Aamir Patel | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1619462918 | Elodie Fabienne Pace-soler | Radiology | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-28 |
| 1942795240 | Darren Michel Steele | Radiology | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-28 |
| 1194210492 | Jacob Tyler Mccallum | Radiology | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-28 |
| 1467947762 | Derek Richard St Louis | Radiology | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-28 |
| 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 | 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 |
| 1215143797 | Kathleen Urban Dehorn | Ophthalmology | 2505 East Paris Ave Se Ste 100, Grand Rapids, MI 49546-6100 | 2007-05-14 |
| 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 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.