KELSEY STURGIS (NPI# 1306235569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306235569 |
| Entity Type | Individual |
| Full Name | KELSEY STURGIS |
| Other Name | KELSEY OTTERBEIN |
| Credential | PA-C |
| Practice Address |
743 E Beltline Ave Ne Grand Rapids MI 49525-6045 |
| Practice Telephone | 6164569553 |
| Practice Fax Number | 6164545371 |
| Mailing Telephone | 6164569553 |
| Mailing Fax Number | 6164545371 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5601007272 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
743 E BELTLINE AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495558 | Harvinder Paul Singh | Specialist | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2005-05-27 |
| 1780182972 | Rachel Kwapik | Physician Assistant | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2018-01-23 |
| 1336537877 | Andra Elizabeth Talaska | Physician Assistant | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2015-01-07 |
| 1053742429 | Heenashree I Patel | Physician Assistant | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2013-12-10 |
| 1295176790 | Varda Singhal | Internal Medicine | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2013-07-12 |
| 1740410455 | Rajinder Singh Marok | Internal Medicine | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2009-07-16 |
| 1356583926 | West Michigan Cardiology | Physician Assistant | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2009-03-29 |
| 1619119393 | Megan A Taratuta | Physician Assistant | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2009-03-27 |
| 1881844967 | Prompter Care, Inc | Clinic/Center | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2008-09-24 |
| 1891881066 | East Beltline Imaging Plc | Specialist | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1023406188 | Elite Health, Plc | General Practice | 310 Fulton St E, Suite A, Grand Rapids, MI 49503-4302 | 2014-12-24 |
| 1275712887 | Dr. Rafael Torres PC | General Practice | 6460 28th St Se, Grand Rapids, MI 49546-6918 | 2007-10-31 |
| 1497967947 | William A Wagner | General Practice | 2317 Elmwood Dr Se, Grand Rapids, MI 49506-4055 | 2007-05-05 |
| 1952479503 | Emergency Physicians Inc PC | General Practice | 324 Forest Hill Ave Se, Grand Rapids, MI 49546-2316 | 2006-12-01 |
| 1124123476 | Lourens J Willekes | General Practice | 751 Lafeyette Nw, Grand Rapids, MI 49503 | 2006-09-13 |
| 1568401032 | Sheila Marie Vanlowe-prince | General Practice | 847 Parchment Dr Se Ste 120, Grand Rapids, MI 49546-2377 | 2006-06-06 |
| 1114920550 | Emergency Physicians Inc PC | General Practice | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2005-05-31 |
| 1619147493 | Joanne Marie Grzeszak Do PC | General Practice | 806 Alger St Se, Grand Rapids, MI 49507-3803 | 2008-03-07 |
| 1164611836 | Gary W Bailey Do PC | General Practice | 2525 Burton St Se, Grand Rapids, MI 49546 | 2007-10-18 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on KELSEY STURGIS.
| 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.