EDWARD LAWRENCE DEMAAGD (NPI# 1679192124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679192124 |
Entity Type | Individual |
Full Name | EDWARD LAWRENCE DEMAAGD |
Credential | RN |
Practice Address |
4635 Lucas Dr Sw Grandville MI 49418-2293 |
Practice Telephone | 6166333086 |
Mailing Telephone | 6166333086 |
Enumeration Date | 2020-04-15 |
Last Update Date | 2020-04-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
4704300359 | MI | Nursing Service Providers |
Street Address |
4635 LUCAS DR SW |
City | GRANDVILLE |
State | MI |
Zip Code | 49418-2293 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
Find all providers in zip 49418 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851922405 | Lucy Montanaro | Registered Nurse | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2020-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629677869 | Linda Denise Harter | Registered Nurse | 7000 Eagle Rd, Davisburg, MI 48350-3200 | 2020-10-20 |
1396351458 | Nina Mattucci | Registered Nurse | 144 Rockway Dr, Linden, MI 48451-9140 | 2020-09-23 |
1255963161 | Ruth Hoogmoed | Registered Nurse | 6475 Bridlewood Ct Ne, Ada, MI 49301-9664 | 2020-02-08 |
1649815366 | Margaret Emily-pawlowski Bovee | Registered Nurse | 2444 Welsheimer Rd, Harbor Springs, MI 49740 | 2019-11-18 |
1356994099 | Wendy S Krause | Registered Nurse | 13266 Spence Rd, Three Rivers, MI 49093-9707 | 2019-07-22 |
1669037081 | Laura Esese | Registered Nurse | 3640 Brambleberry Dr Nw, Comstock Park, MI 49321-9796 | 2019-05-02 |
1306305925 | Paul J Klutts | Registered Nurse | 330 W Division St, Ishpeming, MI 49849-2340 | 2019-03-13 |
1598254344 | Jerri Dee Medved | Registered Nurse | 1327 Sherwood Forest Ct, Waterford, MI 48327-1677 | 2018-05-08 |
1053835736 | Great Lakes Adult Day Services, LLC | Registered Nurse | 19194 Augusta Ct, Livonia, MI 48152-4016 | 2017-08-03 |
1255883450 | Sheila Andrews | Registered Nurse | 24110 Beverly St, Oak Park, MI 48237-1942 | 2016-11-04 |
Find all providers with the same taxonomy |
City | GRANDVILLE |
Zip Code | 49418 |
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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.