GYNECOLOGIC ONCOLOGY OF WEST MICHIGAN, PLLC (NPI# 1720292303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720292303 |
| Entity Type | Organization |
| Organization Name | GYNECOLOGIC ONCOLOGY OF WEST MICHIGAN, PLLC |
| Practice Address |
1000 E Paris Ave Se Suite 242 Grand Rapids MI 49546-3691 |
| Practice Telephone | 6169573398 |
| Mailing Telephone | 6169573398 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-05-30 |
| Authorized Official Name | KRISTI KNOX DOWNEY (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6169573539 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CK3413 | 01 | |
| MEDICARE PTAN | 0P51370001 | 01 |
| Street Address |
1000 E PARIS AVE SE SUITE 242 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991581 | Peter Marks | Obstetrics & Gynecology | 1000 E Paris Ave Se, Ste 160, Grand Rapids, MI 49546-8313 | 2005-06-09 |
| 1487101200 | R Sackeyfio Plastic Surgery, PC | Plastic Surgery | 1000 E Paris Ave Se, Suite 221, Grand Rapids, MI 49546-3691 | 2016-09-09 |
| 1558719807 | Kathryn Marie Thelen | Physician Assistant | 1000 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-3691 | 2016-05-27 |
| 1487063392 | Forefront Dermatology, S.c. | Dermatology | 1000 E Paris Ave Se, Suite 214, Grand Rapids, MI 49546 | 2014-08-05 |
| 1194148247 | Eye Center of Grand Rapids, Plc | Ophthalmology | 1000 E Paris Ave Se, Suite 218, Grand Rapids, MI 49546-3691 | 2014-01-27 |
| 1003161472 | Navneet Singh Mander | Surgery | 1000 E Paris Ave Se, Suite 230, Grand Rapids, MI 49546-3691 | 2012-07-20 |
| 1922363589 | Lyndsay Leigh Tomkins | Optometrist | 1000 E Paris Ave Se, Suite 130, Grand Rapids, MI 49546-3691 | 2012-07-10 |
| 1417212507 | Hulst Jepsen Physical Therapy | Physical Therapist | 1000 E Paris Ave Se, Suite 160, Grand Rapids, MI 49546-3691 | 2012-07-05 |
| 1477815454 | Nina Ovnovic-farook | Physician Assistant | 1000 E Paris Ave Se, Suite 246, Grand Rapids, MI 49546-3691 | 2012-06-14 |
| 1588942569 | Troy Leonard Fox | Optometrist | 1000 E Paris Ave Se, Ste 130, Grand Rapids, MI 49546-3691 | 2011-07-25 |
| Find all providers in the same location | ||||
| 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 | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396985206 | Christopher E. Hummel | Obstetrics & Gynecology | 145 Michigan St Ne Ste 6300, Grand Rapids, MI 49503-2562 | 2009-03-05 |
| 1487966412 | Spectrum Health Primary Care Partners | Obstetrics & Gynecology | 145 Michigan St Ne, Grand Rapids, MI 49503-2562 | 2010-07-07 |
| 1821147422 | Leigh Marie Seamon | Obstetrics & Gynecology | 145 Michigan St Ne, Suite 6300, Grand Rapids, MI 49503-2562 | 2007-01-10 |
| 1245340223 | Charles R Harrison | Obstetrics & Gynecology | 145 Michigan St Ne, Ste 6300, Grand Rapids, MI 49503-2562 | 2006-08-30 |
| 1053421024 | Gordon Oliver Downey | Obstetrics & Gynecology | 145 Michigan St Ne, Suite 6300, Grand Rapids, MI 49503-2562 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831611870 | Vinay K Malviya Md PC | Obstetrics & Gynecology | 26850 Providence Pkwy Ste 530, Novi, MI 48374-1268 | 2017-07-12 |
| 1346415494 | Morgan L Taylor | Obstetrics & Gynecology | 3909 Woodward Ave, Apartment 208, Detroit, MI 48201 | 2008-04-29 |
| 1699868752 | J Rebecca Liu | Obstetrics & Gynecology | 5301 E Huron River Dr Ste 208, Ypsilanti, MI 48197-1051 | 2006-10-02 |
| 1578524021 | Jayson Field | Obstetrics & Gynecology | 3577 W 13 Mile Rd Ste 302, Royal Oak, MI 48073-6710 | 2006-03-31 |
| 1831180140 | David P Michelin | Obstetrics & Gynecology | 217 S Madison Street, Traverse City, MI 49684-2320 | 2005-11-04 |
| 1891782736 | James Ewell Graham Jr. | Obstetrics & Gynecology | 302 Kensington Ave, Genesys Hurley Cancer Institute, Flint, MI 48503-2044 | 2005-10-05 |
| 1184623514 | Vinay Kumar Malviya | Obstetrics & Gynecology | 29877 Telegraph Rd Ste 304, Southfield, MI 48034-7660 | 2005-07-19 |
| 1235134461 | Michiana Hematology Oncology of Michigan, P.C. | Obstetrics & Gynecology | 4 Longmeadow Drive, Suite One, Niles, MI 49120 | 2005-06-15 |
| 1043660467 | Ella E M Brown Charitable Circle | Obstetrics & Gynecology | 200 N Madison St, Marshall, MI 49068-1143 | 2016-06-16 |
| 1902285752 | Barry Philip Rosen | Obstetrics & Gynecology | 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230-1923 | 2015-05-27 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on GYNECOLOGIC ONCOLOGY OF WEST MICHIGAN, PLLC.
| 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.