BREAST HEALTH & WELLNESS CENTER PC (NPI# 1710378989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710378989 |
| Entity Type | Organization |
| Organization Name | BREAST HEALTH & WELLNESS CENTER PC |
| Practice Address |
630 Kenmoor Ave Se Suite 102 Grand Rapids MI 49546-8626 |
| Practice Telephone | 6169200825 |
| Practice Fax Number | 6169200830 |
| Mailing Telephone | 6169200825 |
| Mailing Fax Number | 6169200830 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | COLLEEN APP (OWNER) |
| Authorized Official Telephone | 6169200825 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301070786 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
630 KENMOOR AVE SE SUITE 102 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649294091 | Colleen Anne-curcio App | Surgery | 630 Kenmoor Ave Se, Suite 102, Grand Rapids, MI 49546-8626 | 2006-07-27 |
| 1427520196 | Carol Lynn Wilkin | Physical Therapist | 630 Kenmoor Ave Se, Grand Rapids, MI 49546 | 2018-12-19 |
| 1932671872 | Bradley Earl Davis | Occupational Therapist | 630 Kenmoor Ave Se, Grand Rapids, MI 49546-8626 | 2018-12-17 |
| 1386129146 | Michele Goodman | Physical Therapist | 630 Kenmoor Ave Se, Grand Rapids, MI 49546-8626 | 2018-09-27 |
| 1013412246 | Chintan Anil Kulkarni | Physical Therapist | 630 Kenmoor Ave Se, Grand Rapids, MI 49546-8626 | 2018-03-29 |
| 1952512576 | Rebecca Mae Bylsma | Occupational Therapist | 630 Kenmoor Ave Se, Grand Rapids, MI 49546 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938084 | Jenna Corinne Coon Fussell | Surgery | 221 Michign St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-07-17 |
| 1821518135 | Amanda Marsh | Surgery | 221 Michigan Suite 200-a, Grand Rapids, MI 49503 | 2017-06-27 |
| 1346760923 | Kristin Wempe | Surgery | 221 Michigan St Ne # 200-a, Grand Rapids, MI 49503-2543 | 2017-06-23 |
| 1508386186 | Justin Hsu | Surgery | 221 Michigan St Ne Ste 200-a, Grand Rapids, MI 49503-2543 | 2017-06-23 |
| 1184006124 | Joshua Ryan Smith | Surgery | 1900 Wealthy St Se Ste 180, Grand Rapids, MI 49506-2972 | 2015-06-26 |
| 1093061905 | James Regan | Surgery | 945 Ottawa Ave Nw, Grand Rapids, MI 49503-1431 | 2012-07-29 |
| 1346503455 | Matthew Brent Dull | Surgery | 221 Michigan St Ne Ste 200a, Grand Rapids, MI 49503-2543 | 2012-06-22 |
| 1376870550 | Jerome J Wisneski | Surgery | 2338 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5969 | 2009-11-10 |
| 1104151695 | Richard Earl Dean | Surgery | 3735 Cook Valley Blvd Se, Grand Rapids, MI 49546 | 2009-10-16 |
| 1083877120 | Patricia Anne Pentiak | Surgery | 221 Michign St Ne Ste 400, Grand Rapids, MI 49503-2538 | 2008-07-09 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on BREAST HEALTH & WELLNESS CENTER PC.
| 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.