TODD SHOMIN (NPI# 1578635058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578635058 |
| Entity Type | Individual |
| Full Name | TODD SHOMIN |
| Credential | MD |
| Practice Address |
2332 Alpine Ave Nw Grand Rapids MI 49544-1955 |
| Mailing Address |
100 Michigan St Ne Mc 109 Attn Julie L Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163916220 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301070257 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GROUP NPI | 1598712390 | 01 |
| MI | 4770941 | 05 | |
| MI | 4771090 | 05 | |
| MI | 4770899 | 05 | |
| MI | 4773827 | 05 | |
| MI | 4774038 | 05 | |
| MI | BCBS | 0104110512 | 01 |
| Street Address |
2332 ALPINE AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477534642 | Ginger K Biesbrock | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2005-11-07 |
| 1154832160 | Jordan Blake Ashdown | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2017-10-17 |
| 1184142556 | Adrienne R Cook | Nurse Practitioner | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2017-09-06 |
| 1861928178 | Heidi Draft-peppin | Social Worker | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2017-05-05 |
| 1215484324 | Danielle Lobdell | Nurse Practitioner | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2016-09-07 |
| 1447685896 | Spectrum Health Primary Care Partners | Family Medicine | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2013-09-04 |
| 1518209725 | Spectrum Health Hospitals | Emergency Medicine | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2013-03-26 |
| 1538401740 | Spectrum Health Primary Care Partners | Emergency Medicine | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2013-03-26 |
| 1366788515 | Blair Anthony Stepp | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2012-12-17 |
| 1962717850 | My Tu Ly | Physician Assistant | 2332 Alpine Ave Nw, Grand Rapids, MI 49544-1955 | 2010-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| 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 |
|---|---|---|---|---|
| 1083239974 | Mercy Health Partners | Family Medicine | 826 Parchment Dr Se Ste 210, Grand Rapids, MI 49546-2307 | 2020-06-16 |
| 1740810563 | Spectrum Health Primary Care Partners | Family Medicine | 435 Ionia Ave Sw, Grand Rapids, MI 49503-5161 | 2020-01-21 |
| 1932748050 | Alexander Corcoran Pa-c LLC | Family Medicine | 2340 College Ave Se, Grand Rapids, MI 49507-3108 | 2020-01-06 |
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1619463775 | Zlex, Pllc | Family Medicine | 847 Parchment Dr Se Ste 100, Grand Rapids, MI 49546-2303 | 2018-07-02 |
| 1558856518 | Leland Cary Gyr | Family Medicine | 25 Michigan St Ne Ste 5300, Grand Rapids, MI 49503-2515 | 2018-06-22 |
| 1982126355 | Jeffrey Dufresne | Family Medicine | 300 Lafayette Ave. Se, Grand Rapids, MI 49503 | 2017-07-07 |
| 1386165157 | Samantha V Mcpharlin | Family Medicine | 300 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503 | 2017-07-03 |
| 1639699481 | Andrew R Izzo | Family Medicine | 3200 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-7057 | 2017-06-22 |
| 1871908970 | Marc Arenas | Family Medicine | 245 Cherry St Se Ste 200, Grand Rapids, MI 49503 | 2014-06-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on TODD SHOMIN.
| 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.