JOHN G ANDERSON (NPI# 1700874294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700874294 |
| Entity Type | Individual |
| Full Name | JOHN G ANDERSON |
| Credential | MD |
| Practice Address |
1111 Leffingwell Ave Ne Ste 100 Grand Rapids MI 49525 |
| Practice Telephone | 6164597101 |
| Practice Fax Number | 6164646170 |
| Mailing Telephone | 6164597101 |
| Mailing Fax Number | 6164646170 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
4301070607 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 200030127 | 01 | |
| ADMINISTAR | 442790001 | 01 | |
| MI | 3380119 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251551 | John David Anderson | In Home Supportive Care | 6904 Joseph Drive, Enon, OH 45323-1448 | 2020-09-30 |
| 1689207433 | John William Anderson | Pharmacist | 5580 Hwy 70, Marshall, NC 28753 | 2020-02-20 |
| 1760956197 | John Elmer Anderson | Specialist/Technologist | 2201 University Dr, Lemont Furnace, PA 15456-1025 | 2019-01-18 |
| 1780123216 | John Fred Anderson Jr. | Student in an Organized Health Care Education/Training Program | 17093 Palisades Cir, Pacific Palisades, CA 90272-2139 | 2017-02-16 |
| 1588080147 | John Anderson | Obstetrics & Gynecology | 520 Campus Rd, Wyomissing, PA 19610-2216 | 2014-03-06 |
| 1033457809 | John Charles Anderson | Hearing Instrument Specialist | 116 Pennton Ave Sw Ste D, Lenoir, NC 28645-4377 | 2013-01-29 |
| 1093008138 | John Anderson | Acupuncturist | 7427 Se Woodstock Blvd, Portland, OR 97206-5838 | 2011-05-24 |
| 1649578212 | John Littleton Anderson V | Marriage & Family Therapist | 4908 Valley Ridge Ave, Los Angeles, CA 90043-1029 | 2011-03-07 |
| 1770880817 | John Edward Anderson Jr. | Psychologist | 6600 Beachview Dr, 400, Rancho Palos Verdes, CA 90275-5877 | 2011-02-25 |
| 1235435637 | John David Anderson | Urology | 4469 Green Valley Road, Fairfield, CA 94534-1365 | 2011-02-02 |
| Street Address |
1111 LEFFINGWELL AVE NE STE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151834 | William G Brinkmeier | Physician Assistant | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525-6406 | 2005-08-15 |
| 1316571334 | Beth A Ronda | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2020-02-28 |
| 1811535172 | Kaylyn Fales | Specialist/Technologist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-18 |
| 1275170540 | Marissa Marguerite Hansen | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-05 |
| 1285120568 | Danielle M Beaudoin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-07-10 |
| 1235630203 | Michael D Newlin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-02-26 |
| 1649787128 | Corey John Koll | Physician Assistant | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-01-05 |
| 1144735093 | Bradley M Griffin | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-12-13 |
| 1811412315 | Logan M Neil | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-08-07 |
| 1053848929 | Hilary May Fredricks | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073834339 | Cameron Patthanacharoenphon | Orthopaedic Surgery | 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | 2010-06-21 |
| 1669422077 | John D Maskill | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525 | 2006-05-10 |
| 1659370666 | Patricia Kolodziej | Orthopaedic Surgery | 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215999339 | Christopher N Zingas | Orthopaedic Surgery | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-04-04 |
| 1952822132 | Damian Joseph Hilbert | Orthopaedic Surgery | 33155 Annapolis St, Wayne, MI 48184-2405 | 2017-06-28 |
| 1902218191 | Michael Swords, Do, Pllc | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2014-05-22 |
| 1861752768 | Sean A. Matuszak Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2012-05-24 |
| 1437374931 | Andrew Moore | Orthopaedic Surgery | 14650 E. Old Us Hwy 12, Suite 105, Chelsea, MI 48118 | 2007-04-17 |
| 1740382183 | Sjmh Medical Practice | Orthopaedic Surgery | 44555 Woodward Ave, Suite 105, Pontiac, MI 48341-5031 | 2006-09-05 |
| 1942224894 | Norman J Licht | Orthopaedic Surgery | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2006-07-26 |
| 1972551836 | Robert M Mihalich | Orthopaedic Surgery | 2305 Genoa Business Park Dr, #170, Brighton, MI 48114-7004 | 2006-05-04 |
| 1942275490 | Michael P Swords | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2006-02-20 |
| 1942208533 | Arthur Manoli II | Orthopaedic Surgery | 44555 Woodward Ave, Suite 105, Pontiac, MI 48341-5031 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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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.