DR. KEVIN JON PIEBENGA (NPI# 1629034178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629034178 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JON PIEBENGA |
| Credential | D.P.M., P.C. |
| Practice Address |
3330 Central Blvd Hudsonville MI 49426-1441 |
| Practice Telephone | 6166697525 |
| Practice Fax Number | 6166699952 |
| Mailing Telephone | 6166697525 |
| Mailing Fax Number | 6166699952 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
001527 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2693413 | 05 |
| Street Address |
3330 CENTRAL BLVD |
| City | HUDSONVILLE |
| State | MI |
| Zip Code | 49426-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134560360 | West Michigan Heart | Internal Medicine | 3330 Central Blvd, Hudsonville, MI 49426-1441 | 2013-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680089 | Bree D Bode | Health Educator | 3625 Black Star St, Hudsonville, MI 49426 | 2020-05-07 |
| 1306409891 | Rachael Elizabeth Schutter | Physical Therapy Assistant | 3650 Vanburen St, Hudsonville, MI 49426 | 2019-04-19 |
| 1215430699 | Jennifer Anne-gluszewski Patterson | Physical Therapist | 6105 Wilson Ave, Wyoming, MI 49426 | 2018-03-13 |
| 1457850802 | Spectrum Health Primary Care Partners | Physician Assistant | 4075 32nd Ave, Hudsonville, MI 49426 | 2018-02-12 |
| 1952845182 | Katie Farnquist | Counselor | 1388 Baldwin St., Suite A, Jenison, MI 49426 | 2016-12-07 |
| 1205238540 | Marta Stern | Mechanotherapist | 3152a Port Sheldon Rd., Hudsonville, MI 49426 | 2014-09-18 |
| 1376883355 | Traci L Potter | Social Worker | 4216 Nancy St., Hudsonville, MI 49426 | 2013-02-27 |
| 1871846790 | Dignity Home Care Professionals | Home Health | 7499 Russell Dr, Hudsonville, MI 49426 | 2012-10-16 |
| 1427332303 | Benjamin Matthew Bringedahl | Pharmacist | 3457 Stonyridge Dr, Hudsonville, MI 49426 | 2011-10-10 |
| 1295017234 | Jennifer Lemieux | Pharmacist | 1463 Rebecca Run, Hudsonville, MI 49426 | 2011-09-15 |
| Find all providers in zip 49426 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215293550 | Kevin J. Piebenga D.p.m. P.C. | Podiatrist | 3330 Central Boulevard, Hudsonville, MI 49426-4114 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666880 | Tracey A Arbour | Podiatrist | 47205 Scarlet Dr S, Novi, MI 48374-3448 | 2019-02-27 |
| 1487107249 | Muhammad Kang | Podiatrist | 2075 E West Maple Rd Ste B207, Commerce Township, MI 48390-3816 | 2016-07-28 |
| 1508229188 | Katherine Morrison | Podiatrist | 14555 Levan Rd Ste E302, Livonia, MI 48154-5042 | 2016-04-01 |
| 1356570436 | Sarah Pope | Podiatrist | 2763 New England Dr, Rochester Hills, MI 48309-2819 | 2009-07-09 |
| 1831348416 | Allan Kalmus Dpm PC | Podiatrist | 5250 Auto Club Dr Ste 220, Dearborn, MI 48126-2619 | 2008-09-18 |
| 1659559870 | Craig R. Shelton, Dpm | Podiatrist | 103 Ferris St, Ypsilanti, MI 48197-5412 | 2008-02-11 |
| 1881802288 | Ronald Eugene Wilson | Podiatrist | 18460 Revere St, Detroit, MI 48234-1726 | 2007-05-18 |
| 1427185545 | James Peter Pitlosh | Podiatrist | 803 10th Ave, Suite A, Port Huron, MI 48060-3676 | 2007-02-27 |
| 1629137807 | Clifford Arthur Trethewey | Podiatrist | 216 W Exchange St, Owosso, MI 48867-2818 | 2006-12-06 |
| 1285709212 | Laurie Beth Glanz | Podiatrist | 35 Church, Mt Clemens, MI 48043 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
| City | HUDSONVILLE |
| Zip Code | 49426 |
Please comment or provide details below to improve the information on DR. KEVIN JON PIEBENGA.
| 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.