MATTHEW MURRAY VILLEROT (NPI# 1386023224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386023224 |
| Entity Type | Individual |
| Full Name | MATTHEW MURRAY VILLEROT |
| Credential | D.O. |
| Practice Address |
1900 Wealthy St Se Ste 290 Grand Rapids MI 49506-2969 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6167748345 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 5101025365 | MI | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
5101025365 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 480736712 | 2488985000 |
| Street Address |
1900 WEALTHY ST SE STE 290 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316969983 | Robert Francis Morrell IIi | Psychologist | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 | 2006-07-24 |
| 1396388369 | Jori Anna Grit | Nurse Practitioner | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 | 2019-10-23 |
| 1437648151 | Haley Outcalt | Nurse Practitioner | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506 | 2018-05-08 |
| 1659745172 | Charity Bouchard | Physician Assistant | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 | 2015-11-20 |
| 1225407554 | Angela Lynette Embree | Nurse Practitioner | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 | 2015-09-16 |
| 1679991350 | Shastin Shull | Physical Medicine & Rehabilitation | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 | 2014-03-31 |
| 1295174167 | Brittni Simonti Rohde | Physical Medicine & Rehabilitation | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 | 2013-06-24 |
| 1053664961 | Timothy Edward Halpin | Physician Assistant | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 | 2012-10-17 |
| 1568775443 | Steven Peter Petrovas | Anesthesiology | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 | 2010-07-20 |
| 1932430808 | Ryan William Felix | Physical Medicine & Rehabilitation | 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 | 2010-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407198807 | Kevin M. Nemeth | Anesthesiology | 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 | 2013-03-23 |
| 1346509007 | Rashad Albeiruti | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2012-05-15 |
| 1033442231 | Christopher Ross Russo | Anesthesiology | 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 | 2009-09-08 |
| 1407085129 | Carl Hinshaw | Anesthesiology | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2009-07-02 |
| 1508092164 | Joshua Suderman | Anesthesiology | 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 | 2009-06-09 |
| 1891892402 | Keith B Javery | Anesthesiology | 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 | 2006-09-19 |
| 1467418574 | Michigan Pain Consultants PC | Anesthesiology | 2060 East Paris Ave Se, Suite 200, Grand Rapids, MI 49546 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568811 | Flint Pain Specialists Pllc | Anesthesiology | 1345 Willowdale Ct Ste B, Flint, MI 48532-4737 | 2018-05-14 |
| 1548624984 | Ayman Tarabishy Md Pllc | Anesthesiology | 400 Plymouth Rd, F2, Plymouth, MI 48170-1482 | 2016-04-12 |
| 1457733008 | John Sung Ha | Anesthesiology | 325 E Eisenhower Pkwy Ste 310, Ann Arbor, MI 48108-3307 | 2015-06-19 |
| 1841603362 | Clinton Pain and Anesthesia Plc | Anesthesiology | 16100 19 Mile Road, Clinton Township, MI 48038 | 2014-06-03 |
| 1255743738 | Advanced Pain Specialists | Anesthesiology | 18100 Oakwood Blvd Ste 203, Dearborn, MI 48124-4085 | 2014-06-02 |
| 1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
| 1265876403 | Medical Business Consultants, Ltd. | Anesthesiology | 63474 Zabel Shores Rd, Sturgis, MI 49091-9371 | 2013-04-18 |
| 1891054573 | Eduardo Icaza | Anesthesiology | 36622 Five Mile Rd Ste 101, Livonia, MI 48154-1900 | 2012-05-15 |
| 1972884724 | Martin Ilan Noveck | Anesthesiology | 9255 Allen Rd, Clarkston, MI 48348-2726 | 2011-09-07 |
| 1831491851 | Ana Pain Management PC | Anesthesiology | 42645 Garfield Rd Ste 103, Clinton Township, MI 48038-5022 | 2010-11-23 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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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.