RUSSEL D JELSEMA (NPI# 1588654263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588654263 |
| Entity Type | Individual |
| Full Name | RUSSEL D JELSEMA |
| Credential | M.D. |
| Practice Address |
221 Michigan St Ne Suite 600 Grand Rapids MI 49503-2543 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6167747035 |
| Practice Fax Number | 6167744057 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2015-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | RJ407131 | MI | Other Service Providers |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
4301407131 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
221 MICHIGAN ST NE SUITE 600 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442053 | Jane K Cottingham | Specialist | 221 Michigan St Ne, Suite 600, Grand Rapids, MI 49503-2543 | 2005-10-25 |
| 1649718941 | Kelly Healy | Dietitian, Registered | 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503-2533 | 2017-02-07 |
| 1811444128 | Aaron Hollis Palmer | Surgery | 221 Michigan St Ne, Ste 200a, Grand Rapids, MI 49503-2543 | 2016-09-02 |
| 1891248134 | Benjamin Johnson | Surgery | 221 Michigan St Ne, Suite 200a, Grand Rapids, MI 49503-2543 | 2016-08-03 |
| 1356793806 | Andrea Little | Plastic Surgery | 221 Michigan St Ne, Suite 200-a, Grand Rapids, MI 49503-2543 | 2016-07-08 |
| 1225480890 | Stephen Andrew Burgess | Orthopaedic Surgery | 221 Michigan St Ne, 4th Floor, Grand Rapids, MI 49503-2543 | 2016-07-07 |
| 1790136158 | Stephen Thorp | Surgery | 221 Michigan St Ne, Suite 200a, Grand Rapids, MI 49503-2543 | 2016-06-28 |
| 1982055349 | Jessica Lynne Thompson | Surgery | 221 Michigan St Ne, Suite 200a, Grand Rapids, MI 49503-2543 | 2016-06-28 |
| 1154772515 | Joyce Lu | Surgery | 221 Michigan St Ne, Suite 200a, Grand Rapids, MI 49503-2543 | 2016-06-28 |
| 1699126052 | Megan Dietze-fiedler | Plastic Surgery | 221 Michigan St Ne, Suite 300, Grand Rapids, MI 49503-2543 | 2016-06-28 |
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| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003084286 | Marcos Itamar Cordoba Munoz | Obstetrics & Gynecology | 25 Michigan St Ne, Maternal Fetal Medicine Dept, Grand Rapids, MI 49503-2515 | 2008-02-11 |
| 1699898940 | Lisa Michele Thiel | Obstetrics & Gynecology | 25 Michigan St Ne Ste 5200, Grand Rapids, MI 49503-2572 | 2007-04-09 |
| 1447260187 | West Michigan Ob/gyn PC | Obstetrics & Gynecology | 221 Michigan St Ne, Suite 600, Grand Rapids, MI 49503-2543 | 2006-08-08 |
| 1164487716 | David F Colombo | Obstetrics & Gynecology | 25 Michigan St Ne, Mc 5200, Grand Rapids, MI 49503-2515 | 2006-04-18 |
| 1336101260 | Laura J Zuidema | Obstetrics & Gynecology | 25 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503-2515 | 2006-04-05 |
| 1841252756 | Daniel A Rightmire | Obstetrics & Gynecology | 25 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503-2515 | 2006-04-05 |
| 1740254879 | Susan Fee | Obstetrics & Gynecology | 25 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503-2515 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669854816 | Spectrum Health Primary Care Partners | Obstetrics & Gynecology | 4249 Parkway Place Dr Sw, Grandville, MI 49418-2679 | 2015-06-24 |
| 1588840573 | Silvio Aladjem | Obstetrics & Gynecology | 1655 W State Rd, Hastings, MI 49058-8557 | 2008-01-21 |
| 1659572329 | Erhard Herwig Marz | Obstetrics & Gynecology | 1767 S M 52, Owosso, MI 48867-9201 | 2007-05-30 |
| 1487694949 | Susan Berman | Obstetrics & Gynecology | 4201 St Antoine Ste 4e&f, University Health Center, Detroit, MI 48201 | 2006-06-06 |
| 1164469680 | Bernard Gonik | Obstetrics & Gynecology | Sinai Grace Hospital-atenatal Diagnostic Unit, 6071 W Outer Dr, Detroit, MI 48235 | 2006-06-01 |
| 1285685503 | Sara H Garmel | Obstetrics & Gynecology | 2142 Monroe St Ste 100, Dearborn, MI 48124-3057 | 2006-05-12 |
| 1619926185 | Susan J. Sherman | Obstetrics & Gynecology | 43077 Brookstone Dr, Novi, MI 48377-2714 | 2006-05-10 |
| 1083663983 | Gregory L Goyert | Obstetrics & Gynecology | 3301 W Grand St, 8th Floor, Detroit, MI 48238-2793 | 2006-05-08 |
| 1780658443 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5301 Huron River Drive, Ypsilanti, MI 48197-1051 | 2006-02-17 |
| 1861470296 | Mark E Redman | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2006-01-05 |
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| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.