DR. DAVID ROBERT FERMIN (NPI# 1447442215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447442215 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROBERT FERMIN |
| Credential | M.D. |
| Practice Address |
2902 Bradford St Ne Grand Rapids MI 49525 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6164866577 |
| Practice Fax Number | 6164860105 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2018-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301104120 | MI | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
50639 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
4301104120 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2902 BRADFORD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289798 | Michael G Dickinson | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525 | 2006-01-11 |
| 1639445844 | Matthew Hans Gonzalez | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2012-04-02 |
| 1356643027 | Spectrum Health Hospitals | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2010-12-01 |
| 1417266685 | Spectrum Health Primary Care Partners | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2010-10-05 |
| 1942523261 | Susan Marie Dalrymple | Nurse Practitioner | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2010-03-02 |
| 1306099973 | Jacquelyn May Oliai | Nurse Practitioner | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2008-10-28 |
| 1598914228 | Laura Borst Braunohler | Nurse Practitioner | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2008-09-18 |
| 1447411004 | Milena Jani | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525 | 2008-06-17 |
| 1275742389 | Renzo Ygor Loyaga-rendon | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2007-05-22 |
| 1841415098 | Ryan Grayburn | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2007-04-14 |
| 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 | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639445844 | Matthew Hans Gonzalez | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2012-04-02 |
| 1275742389 | Renzo Ygor Loyaga-rendon | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2007-05-22 |
| 1841415098 | Ryan Grayburn | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2007-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168607 | Rajendra Mehta, Md, PC | Internal Medicine | 823 E Michigan Ave # 30, Jackson, MI 49201-2401 | 2020-09-14 |
| 1780296699 | Yoav Hammer | Internal Medicine | 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 | 2020-08-21 |
| 1891205969 | Regents of The University of Michigan | Internal Medicine | 1500 E Medical Center Drive, 3rd Floor Taubman Ctr Recp C, Ann Arbor, MI 48109-5644 | 2017-10-03 |
| 1700396876 | Regents of The University of Michgian | Internal Medicine | 8001 Challis Rd, Brighton, MI 48116-7446 | 2017-10-03 |
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on DR. DAVID ROBERT FERMIN.
| 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.