MICHIGAN MEDICAL PATIENT CARE (NPI# 1508033283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508033283 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MEDICAL PATIENT CARE |
| Practice Address |
302 S Beechtree St Grand Haven MI 49417-2004 |
| Mailing Address |
4085 Burton St Se Suite 200 Grand Rapids MI 49546-2444 |
| Practice Telephone | 6168468570 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | SCOTT HARRING (CFO) |
| Authorized Official Telephone | 6169744889 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN MEDICAL PATIENT CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447586540 | Michigan Medical Patient Care | Internal Medicine | 6117 Charlevoix Woods Ct Se, Grand Rapids, MI 49546-8505 | 2009-10-23 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1598907693 | Michigan Medical Patient Care | Internal Medicine | 400 Parkside Dr, Rm 136, Zeeland, MI 49464-2087 | 2009-04-03 |
| 1467693838 | Michigan Medical Patient Care | Internal Medicine | 1049 East Paris Ave Se, Grand Rapids, MI 49546-8336 | 2009-03-16 |
| 1437390028 | Michigan Medical Patient Care | Internal Medicine | 65 Ida Red Ave, Sparta, MI 49345-1735 | 2009-03-12 |
| 1275774861 | Michigan Medical Patient Care | Internal Medicine | 5761 Jupiter Ave Ne, Belmont, MI 49306-8859 | 2009-03-12 |
| 1558528778 | Michigan Medical Patient Care | Pediatrics | 442 Century Ln, Holland, MI 49423-4294 | 2008-05-16 |
| 1043540818 | Michigan Medical Patient Care | Internal Medicine | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2009-12-30 |
| 1841527413 | Michigan Medical Patient Care | Durable Medical Equipment & Medical Supplies | 3152 Port Sheldon St, Hudsonville, MI 49426-9297 | 2009-11-03 |
| 1548596646 | Michigan Medical Patient Care | Internal Medicine | 3515 Leonard St Nw, Walker, MI 49534-3619 | 2009-10-23 |
| Street Address |
302 S BEECHTREE ST |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194171348 | Harvey Chiropractic, LLC | Chiropractor | 302 S Beechtree St, Grand Haven, MI 49417-2071 | 2016-05-06 |
| 1518312537 | Theresa Louise Harvey | Chiropractor | 302 S Beechtree St, Grand Haven, MI 49417-2071 | 2016-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548619943 | Kevin Andrew Smalley | Family Medicine | 1310 Wisconsin St Ste 103, Grand Haven, MI 49417-2472 | 2016-06-07 |
| 1184080806 | Daniel J. Graham, D.o., P.C. | Family Medicine | 925 S Beechtree St, Suite 1a, Grand Haven, MI 49417-2387 | 2016-01-11 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1508876236 | Martin T Russo Jr. | Family Medicine | 1310 Wisconsin Ave Ste 103, Grand Haven, MI 49417 | 2006-08-08 |
| 1811961899 | Donald Ezra Rutherford | Family Medicine | 1159 S Harbor Dr, Suite C4, Grand Haven, MI 49417-1796 | 2006-02-15 |
| 1457321119 | James Arthur Postema | Family Medicine | 1310 Wisconsin Street Suite 301, North Ottawa Family Practice, Grand Haven, MI 49417 | 2006-01-25 |
| 1154322113 | William H Dukes | Family Medicine | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 | 2005-08-02 |
| 1003811092 | Lee Michael Sterenberg | Family Medicine | 600 Park Ave, Grand Haven, MI 49417-2173 | 2005-06-16 |
| 1386648624 | David Thomas Ottenbaker | Family Medicine | 1445 Sheldon Rd, Suite 201, Grand Haven, MI 49417-2480 | 2005-06-01 |
| 1134121270 | Larry A Poel | Family Medicine | 1310 Wisconsin Ave, Suite 301, Grand Haven, MI 49417-2472 | 2005-06-01 |
| Find all providers in GRAND HAVEN | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
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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.