MICHAEL JAMES MADURA (NPI# 1497862437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497862437 |
Entity Type | Individual |
Full Name | MICHAEL JAMES MADURA |
Credential | M.D, |
Practice Address |
1900 Wealthy St Se Ste 150 Grand Rapids MI 49506-2969 |
Practice Telephone | 6164593158 |
Practice Fax Number | 6164594714 |
Mailing Telephone | 6164593158 |
Mailing Fax Number | 6164594714 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2010-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4301043486 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS OF MICHIGAN | 1004100351 | 01 |
IRS TAX ID# THRU CORP | 38-2145264 | 01 | |
MI | 3318794 | 05 |
Street Address |
1900 WEALTHY ST SE STE 150 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49506-2969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902890437 | David D Hamm | Internal Medicine | 1900 Wealthy St Se, Ste 220, Grand Rapids, MI 49506-2969 | 2005-09-12 |
1376085191 | Douglas Rau | Registered Nurse | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2016-11-10 |
1568910602 | Jeffrey David Ryan-stout | Physician Assistant | 1900 Wealthy St Se, 290, Grand Rapids, MI 49506-2969 | 2016-09-19 |
1437494317 | Sylvia Anne Malcore | Psychologist | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2012-12-04 |
1730443466 | Christa Anne Rector | Physical Medicine & Rehabilitation | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2012-06-27 |
1720354723 | Patrick Ryan Mullan | Physical Medicine & Rehabilitation | 1900 Wealthy St Se, Ste 290, Grand Rapids, MI 49506-2969 | 2012-03-24 |
1154699593 | Grand Rapids Cardiology | Clinic/Center | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 | 2011-12-13 |
1861787475 | Ryan Keith Conway | Surgery | 1900 Wealthy St Se, Suite 180, Grand Rapids, MI 49506-2969 | 2011-06-10 |
1861701047 | Spectrum Health Primary Care Partners | Internal Medicine | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 | 2010-10-05 |
1730409178 | Gabriel Enrique Gallardo | Surgery | 1900 Wealthy St Se, Suite 180, Grand Rapids, MI 49506-2969 | 2010-06-08 |
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 | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
---|---|---|---|---|
1003099904 | Gastroenterology Specialist PC | Internal Medicine | 1179 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-3682 | 2007-12-13 |
1992801138 | Gastroenterology Institute of West Michigan PC | Internal Medicine | 1430 Michigan St Ne, Suite A, Grand Rapids, MI 49503-2006 | 2006-09-15 |
1033101977 | Digestive Diseases Specialists PC | Internal Medicine | 1200 East Paris Ave Se, Ste 8, Grand Rapids, MI 49546-8260 | 2005-08-17 |
1053620237 | Spectrum Health Primary Care Partners | Internal Medicine | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2010-10-05 |
1649581810 | Lindsay Smith Mohrhardt | Internal Medicine | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2010-06-23 |
1912227836 | Kamran Syed Kalim | Internal Medicine | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2010-06-02 |
1497070718 | Ryan Joshua Wong | Internal Medicine | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2010-03-30 |
1790915361 | Lia C Kaufman | Internal Medicine | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2009-07-17 |
1629218219 | Praveen Sateesh | Internal Medicine | 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 | 2009-02-23 |
1518119536 | Karen E Sein Ohn | Internal Medicine | 100 Cherry St Se, Grand Rapids, Grand Rapids, MI 49503-4526 | 2008-10-22 |
Find all providers in GRAND RAPIDS |
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.