NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC


Address: 4070 Lake Dr Se, Suite 201, Grand Rapids, MI 49525
Phone: 6167748200

NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC (NPI# 1528254877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528254877
Entity Type Organization
Organization Name NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC
Practice Address 4070 Lake Dr Se
Suite 201
Grand Rapids
MI 49525
Mailing Address Po Box 150185
Grand Rapids
MI 49515-0185
Practice Telephone 6167748200
Practice Fax Number 6167740304
Mailing Telephone 6168662539
Mailing Fax Number 6168663135
Enumeration Date 2007-09-20
Last Update Date 2008-09-26
Authorized Official Name JESSICA SUE TUCK (MANAGER BILLING)
Authorized Official Telephone 6168662539
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
R0044045 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 3371432 05

Office Location

Street Address 4070 LAKE DR SE
SUITE 201
City GRAND RAPIDS
State MI
Zip Code 49525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629054127 Michael T Vollink Optometrist 4070 Lake Dr Se, Suite 101, Grand Rapids, MI 49546-8294 2005-12-16
1174974356 Oculoplastic Associates of West Michigan, Plc Ophthalmology 4070 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8294 2016-06-28
1417365339 Cynthia Geneva Optometrist 4070 Lake Dr Se, Suite 101, Grand Rapids, MI 49546-8294 2014-07-23
1376771717 Advanced Urology of Grand Rapids Urology 4070 Lake Dr Se, Suite L101, Grand Rapids, MI 49546-8294 2009-06-24
1609018233 Mark S Obrien Md Plc Internal Medicine 4070 Lake Dr Se, Suite 201, Grand Rapids, MI 49546-8294 2009-03-27
1164686812 Tiffany Lauren Kent Ophthalmology 4070 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8294 2008-07-11
1295995629 Physical Therapy Services of Grand Rapids, LLC Clinic/Center 4070 Lake Dr Se, Suite: 204, Grand Rapids, MI 49546-8294 2008-06-10
1457462467 Richard Phillip Oconnor Jr. Internal Medicine 4070 Lake Dr Se, Ste 201, Grand Rapids, MI 49546-8294 2006-08-31
1972612919 David E Thompson Urology 4070 Lake Dr Se, Ste 103, Grand Rapids, MI 49546-8294 2006-08-30
1356450290 Michael Edward Novak Urology 4070 Lake Dr Se, Grand Rapids, MI 49546-8294 2006-08-30
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154675825 William Glenn Bouman Internal Medicine 1141 High Point Dr. Nw, Grand Rapids, MI 49544-7341 2012-11-02
1174898522 Renal and Hypertension Specialists, Pllc Internal Medicine 4024 Park East Ct Se, Suite C, Grand Rapids, MI 49546-8810 2012-03-19
1306041520 Brett William Plattner Internal Medicine 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506-1267 2007-06-18
1295701209 Ronald Michael Hofmann Internal Medicine 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 2006-02-28
1457690125 Paul A Delyria Internal Medicine 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506-1267 2013-01-31
1093005373 Ramandeep Singh Banga Internal Medicine 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 2011-04-08
1295055572 Bonita A. Mohamed Internal Medicine 330 E Beltline Ave Ne, Grand Rapids, MI 49506-1267 2010-06-09
1760678221 Saurabh Kumar Goel Internal Medicine 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 2007-09-19
1104036532 Michael J Unruh Internal Medicine 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 2007-05-23
1871674200 Renal Associates of West Michigan PC Internal Medicine 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 2006-10-19
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Competitor

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City GRAND RAPIDS
Zip Code 49525

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Dataset Information

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.

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