SANDRA WISEBAKER (NPI# 1770530719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770530719 |
Entity Type | Individual |
Full Name | SANDRA WISEBAKER |
Credential | MD |
Practice Address |
80 68th St Se Ste 301 Grand Rapids MI 49548-6980 |
Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
Practice Telephone | 6165321410 |
Enumeration Date | 2006-05-27 |
Last Update Date | 2018-02-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 4301051699 | MI | Allopathic & Osteopathic Physicians |
Street Address |
80 68TH ST SE STE 301 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49548-6980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750835005 | Kelly Ann Levitt | Advanced Practice Midwife | 80 68th St Se Ste 301, Grand Rapids, MI 49548-6980 | 2016-08-03 |
1720325194 | Ruth Elinor Mulder | Advanced Practice Midwife | 80 68th St Se Ste 301, Grand Rapids, MI 49548-6980 | 2013-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
Find all providers in zip 49548 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
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 |
---|---|---|---|---|
1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
1265953335 | Jacqueline Cornell | Obstetrics & Gynecology | 300 Lafayette Ave Se Ste 3200, Grand Rapids, MI 49503-4692 | 2017-06-29 |
1689056244 | Stephanie Lynn Flermoen | Obstetrics & Gynecology | 3800 Lake Michigan Dr Nw Ste A, Grand Rapids, MI 49534-4583 | 2015-06-19 |
1770922064 | Emma Giuliani | Obstetrics & Gynecology | 3230 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-7047 | 2013-06-19 |
1861781783 | Maggi Ann Forgue | Obstetrics & Gynecology | 245 Cherry St Se Ste 306, Grand Rapids, MI 49503 | 2011-03-31 |
1043545882 | Mili Thakur | Obstetrics & Gynecology | 3230 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-7047 | 2009-10-13 |
1912105248 | Erinn Marie Hoekstra | Obstetrics & Gynecology | 555 Midtowne St. Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2007-07-09 |
1881891240 | Samuel Dean Fox | Obstetrics & Gynecology | 330 Barclay Ave Ne Ste 102, Grand Rapids, MI 49503-2525 | 2007-06-29 |
1558568204 | Knollcrestob-gyn Associates, P.C. | Obstetrics & Gynecology | 3300 Burton St Se, Grand Rapids, MI 49546-4398 | 2007-06-27 |
1134220270 | Joseph Peter Talcott | Obstetrics & Gynecology | 1525 E Beltline Ave Ne Ste 203, Grand Rapids, MI 49525-4598 | 2006-09-25 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49548 |
Please comment or provide details below to improve the information on SANDRA WISEBAKER.
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.