DR. STEPHEN PETER DUQUETTE (NPI# 1538507025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538507025 |
Entity Type | Individual |
Full Name | DR. STEPHEN PETER DUQUETTE |
Credential | M.D. |
Practice Address |
4100 Lake Dr Se Ste 300 Grand Rapids MI 49546-8292 |
Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
Practice Telephone | 6162678860 |
Enumeration Date | 2013-06-06 |
Last Update Date | 2020-09-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
4301502968 | MI | Allopathic & Osteopathic Physicians |
Street Address |
4100 LAKE DR SE STE 300 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-8292 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366439432 | Michael Lee Bills | Physician Assistant | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2005-10-04 |
1164064895 | Lorelle Joy Vanbeek | Physician Assistant | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2019-10-15 |
1558829051 | Jordan Taylor Friedrich | Physician Assistant | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2019-03-04 |
1548732381 | Erin Marie Willink | Nurse Practitioner | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2018-12-18 |
1003387655 | Vanessa Rae Smitko | Nurse Practitioner | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2018-12-07 |
1033608559 | Jenade Holloway | Specialist/Technologist | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2018-05-10 |
1831617497 | Alexandra Marquis Schumar | Physician Assistant | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2017-09-05 |
1508387093 | Megan Davis | Specialist/Technologist | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2017-07-05 |
1356707483 | Tsz Kit Kevin Chan | Orthopaedic Surgery | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2016-01-05 |
1033503594 | Jacob H Reisner | Physical Medicine & Rehabilitation | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2015-03-23 |
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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 | 2082S0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
Specialization | Surgery of the Hand |
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003061268 | Plastic Surgery Specialists Pllc | Plastic Surgery | 2060 E. Paris, Grand Rapids, MI 49646 | 2008-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033439807 | S Raja Sekharan | Plastic Surgery | 1950 Tiverton Rd, Bloomfield Hills, MI 48304-2347 | 2010-06-03 |
1861653222 | John Martin Markley Jr. | Plastic Surgery | 21 Ridgeway St, Ann Arbor, MI 48104-1739 | 2008-06-18 |
1174684658 | Richard Carlton Schultz | Plastic Surgery | 12825 N. Northport Point Rd., Northport, MI 49670 | 2006-12-12 |
1346327715 | Steve S Tsangalias | Plastic Surgery | 63 Kercheval Ave, Suite 202, Grosse Pointe Farms, MI 48236-3639 | 2006-11-01 |
1689777252 | Plastic & Cosmetic Surgeons PC | Plastic Surgery | 1219 East Saginaw Street, Lansing, MI 48906 | 2006-09-07 |
1144238593 | Jefrey Ralph-alan Fishman | Plastic Surgery | 1777 Axtell, Suite 109, Troy, MI 48084 | 2006-08-03 |
1740822741 | Marissa Baca, Pllc | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2019-10-10 |
1366884942 | Orthopaedic Associates of Grand Rapids, PC | Plastic Surgery | 2373 64th St Sw Ste 2500, Byron Center, MI 49315 | 2013-07-23 |
1649597998 | Ascension St. Mary's Hospital | Plastic Surgery | 4705 Towne Ctr, Suite 104, Saginaw, MI 48604-2818 | 2010-04-27 |
1205081114 | St Marys of Michigan Specialists | Plastic Surgery | 4677 Towne Ctr, Medical Arts 3 Suite 201, Saginaw, MI 48604-2846 | 2008-11-19 |
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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.