FAMILY EAR NOSE THROAT & ALLERGY (NPI# 1609917186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609917186 |
| Entity Type | Organization |
| Organization Name | FAMILY EAR NOSE THROAT & ALLERGY |
| Practice Address |
961 4 Mile Rd Nw Suite A Grand Rapids MI 49544-1502 |
| Mailing Address |
961 4 Mile Rd Nw Grand Rapids MI 49544-1502 |
| Practice Telephone | 6167846130 |
| Practice Fax Number | 6167846140 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. JOSEPH B GILETTO (OWNER) |
| Authorized Official Telephone | 6167846130 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301071148 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
961 4 MILE RD NW SUITE A |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508313453 | Kelly Lyons | Audiologist | 961 4 Mile Rd Nw, Grand Rapids, MI 49544-8252 | 2016-09-08 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659591204 | Kent Otolaryngology Associates, P.C. | Otolaryngology | 222 Fulton St E, Grand Rapids, MI 49503-3211 | 2007-04-26 |
| 1508824152 | Andrew Paul Barak | Otolaryngology | 2323 E Paris Ave Se, Ste 102, Grand Rapids, MI 49546-2414 | 2006-05-03 |
| 1548251200 | Charles R Henry | Otolaryngology | 4880 Cascade Rd Se, Grand Rapids, MI 49546-3721 | 2005-11-02 |
| 1205837689 | John P Roche | Otolaryngology | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2005-08-09 |
| 1043629231 | Veronique Wan Fook Cheung | Otolaryngology | 145 Michigan St Ne Ste 2220, Grand Rapids, MI 49503-2562 | 2014-08-13 |
| 1003235755 | James D Thompson | Otolaryngology | 145 Michigan St Ne, Grand Rapids, MI 49503-2562 | 2014-04-09 |
| 1376709337 | Kenneth H Markiewicz Do PC | Otolaryngology | 2323 E Paris Ave Se, Grand Rapids, MI 49546-2414 | 2008-07-30 |
| 1174727010 | Todd D Jones | Otolaryngology | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2007-06-13 |
| 1154532448 | Chad Afman | Otolaryngology | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2007-05-25 |
| 1801005251 | Andrew Charles Heaford | Otolaryngology | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2007-05-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on FAMILY EAR NOSE THROAT & ALLERGY.
| 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.