VIVEK BALUJA (NPI# 1538205539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538205539 |
| Entity Type | Individual |
| Full Name | VIVEK BALUJA |
| Other Name | VIVEK BALUJA |
| Credential | M.D. |
| Practice Address |
35 Michigan St Ne Suite 3003 Grand Rapids MI 49503-2514 |
| Mailing Address |
9110 College Pointe Ct # Mc845 Fort Myers FL 33919-3244 |
| Practice Telephone | 6162672500 |
| Practice Fax Number | 6162672501 |
| Mailing Telephone | 2392082212 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
4301102633 | MI | Allopathic & Osteopathic Physicians |
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
P20581 | MD | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MED-PHYS-LIC-768 | MT | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
18778 | NH | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
14954 | ND | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
26126 | MS | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD191107 | OR | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35.132402 | OH | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TM00763 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME132291 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301102633 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3116042 | 05 | |
| CO | 62004271 | 05 | |
| MI | 1538205539 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9110 College Pointe Ct, Fort Myers, FL 339193244 | 2392082212 | 2392083994 |
| 2801 N Gantenbein Ave, Portland, OR 972271623 | 5034138407 | |
| 172 Kinsley St, Nashua, NH 030603648 | 6038823000 | 6038893774 |
| Street Address |
35 MICHIGAN ST NE SUITE 3003 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| 1124650130 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2020-02-07 |
| 1326607029 | Julie Lynn Cusic | Social Worker | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2019-06-07 |
| 1144732850 | Michelle Kristine Buist | Nurse Practitioner | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2017-11-03 |
| 1780195354 | Monica Mulder | Nurse Practitioner | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2029 | 2017-10-23 |
| 1790218980 | Katie Patterson | Technician/Technologist | 35 Michigan St Ne, Suite 5101, Grand Rapids, MI 49503-2514 | 2017-04-05 |
| 1316493604 | Sarah Kempton | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-08-28 |
| 1245683002 | Shawn Kay Hillman | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-07-18 |
| 1710351614 | Jutta Strueber | Student in an Organized Health Care Education/Training Program | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2015-11-16 |
| 1740668607 | Samantha Rosen | Optometrist | 35 Michigan St Ne, Suite 5101, Grand Rapids, MI 49503-2514 | 2015-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1518377746 | Audrey Kay Sanders | Psychiatry & Neurology | 220 Cherry St Se # 1, Grand Rapids, MI 49503 | 2014-04-28 |
| 1598101115 | Rebecca Smith Tang | Psychiatry & Neurology | 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 | 2013-05-22 |
| 1497901110 | Jahandar Saifollahi | Psychiatry & Neurology | Saddle Back Center, Building 751-e Kenmore Avenue, S.e., Grand Rapids, MI 49546-2391 | 2008-08-13 |
| 1528008281 | Herman Sullivan | Psychiatry & Neurology | 200 Cherry St Se, Grand Rapids, MI 49503 | 2006-06-08 |
| 1144269432 | Rajeev Deveshwar | Psychiatry & Neurology | 25 Michigan St Ne Ste 6100, Spectrum Health Medical Group Neurovascular/stroke Offi, Grand Rapids, MI 49503-2561 | 2006-06-05 |
| 1881641694 | Timothy Thoits | Psychiatry & Neurology | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2006-05-27 |
| 1255388062 | John Visser | Psychiatry & Neurology | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 | 2006-05-27 |
| 1295792026 | Neurological Associates of West Mi, PC | Psychiatry & Neurology | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2006-04-26 |
| 1467427088 | Evelyn Panagsagan Navarro | Psychiatry & Neurology | 3200 Eagle Park Dr Ne Ste 103, Grand Rapids, MI 49525 | 2006-02-17 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on VIVEK BALUJA.
| 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.