DR. ANDREW PAUL BARAK (NPI# 1508824152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508824152 |
| Entity Type | Individual |
| Full Name | DR. ANDREW PAUL BARAK |
| Credential | DO |
| Practice Address |
2323 E Paris Ave Se Ste 102 Grand Rapids MI 49546-2414 |
| Practice Telephone | 6162853733 |
| Practice Fax Number | 6162855960 |
| Mailing Telephone | 6162853733 |
| Mailing Fax Number | 6162855960 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | AB007458 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0454110994 | 01 |
| MI | 2121408 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275727513 | Andrew Sean Barak | Dentist | 1315 Alhambra Blvd, Suite 340, Sacramento, CA 95816-5244 | 2007-08-29 |
| Street Address |
2323 E PARIS AVE SE STE 102 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710222971 | Edmee Psychological Services | Psychologist | 2323 E Paris Ave Se, Suite 101, Grand Rapids, MI 49546-2414 | 2012-11-29 |
| 1376709337 | Kenneth H Markiewicz Do PC | Otolaryngology | 2323 E Paris Ave Se, Grand Rapids, MI 49546-2414 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659591204 | Kent Otolaryngology Associates, P.C. | Otolaryngology | 222 Fulton St E, Grand Rapids, MI 49503-3211 | 2007-04-26 |
| 1609917186 | Family Ear Nose Throat & Allergy | Otolaryngology | 961 4 Mile Rd Nw, Suite A, Grand Rapids, MI 49544-1502 | 2007-02-09 |
| 1548251200 | Charles R Henry | Otolaryngology | 4880 Cascade Rd Se, Grand Rapids, MI 49546-3721 | 2005-11-02 |
| 1205837689 | John P Roche | Otolaryngology | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2005-08-09 |
| 1043629231 | Veronique Wan Fook Cheung | Otolaryngology | 145 Michigan St Ne Ste 2220, Grand Rapids, MI 49503-2562 | 2014-08-13 |
| 1003235755 | James D Thompson | Otolaryngology | 145 Michigan St Ne, Grand Rapids, MI 49503-2562 | 2014-04-09 |
| 1376709337 | Kenneth H Markiewicz Do PC | Otolaryngology | 2323 E Paris Ave Se, Grand Rapids, MI 49546-2414 | 2008-07-30 |
| 1174727010 | Todd D Jones | Otolaryngology | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2007-06-13 |
| 1154532448 | Chad Afman | Otolaryngology | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2007-05-25 |
| 1801005251 | Andrew Charles Heaford | Otolaryngology | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2007-05-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.