ANDREW CHARLES HEAFORD (NPI# 1801005251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801005251 |
Entity Type | Individual |
Full Name | ANDREW CHARLES HEAFORD |
Credential | MD |
Practice Address |
4069 Lake Dr Se Suite 315 Grand Rapids MI 49546-8816 |
Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
Practice Telephone | 6162677758 |
Practice Fax Number | 6162677290 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2016-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | 4301104370 | MI | Allopathic & Osteopathic Physicians |
Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
4301104370 | MI | Allopathic & Osteopathic Physicians |
Street Address |
4069 LAKE DR SE SUITE 315 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-8816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811983000 | Spectrum Health | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 210, Grand Rapids, MI 49546-8816 | 2005-09-22 |
1184070807 | Danielle Wentworth | Audiologist | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2016-05-12 |
1205253424 | Elizabeth House | Physician Assistant | 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 | 2014-03-26 |
1043655780 | Spectrum Health Primary Care Partners | Nutritionist | 4069 Lake Dr Se, Ste. 315, Grand Rapids, MI 49546-8816 | 2013-05-08 |
1790025898 | George Torao Sugiyama | Surgery | 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 | 2013-02-26 |
1639442791 | Debra Ann West | Audiologist | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2012-02-20 |
1982976924 | Ashley Lucas | Physician Assistant | 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 | 2012-02-07 |
1861762122 | Carley Therese Flegler | Physician Assistant | 4069 Lake Dr Se, Suite 313, Grand Rapids, MI 49546-8816 | 2012-01-04 |
1013227156 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2010-10-07 |
1285944322 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 314, Grand Rapids, MI 49546-8816 | 2010-10-07 |
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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 | 207YP0228X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Pediatric Otolaryngology |
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568861557 | Henry Ford Wyandotte Hospital | Otolaryngology | 23050 West Rd Ste 240, Brownstown Twp, MI 48183-1473 | 2014-08-15 |
1538568696 | James Coticchia, M.d., P.C. | Otolaryngology | 18181 Oakwood Blvd Ste 202, Dearborn, MI 48124-4082 | 2014-08-14 |
1528357506 | Mallory Brooke O'niel | Otolaryngology | 3901 Beaubien St Ste 2102, Detroit, MI 48201-2119 | 2011-03-30 |
1629300165 | Sinan Atmaca | Otolaryngology | 29120 Franklin Rd, Southfield, MI 48034-1105 | 2010-02-09 |
1437387297 | Ranga Reddy Sirigiri | Otolaryngology | 660 Trombley Dr, Troy, MI 48083-5135 | 2009-06-30 |
1528258787 | Cecilia Canto Helwig | Otolaryngology | 3901 Beaubien St Ste 3515, Detroit, MI 48201 | 2007-07-25 |
1770831497 | Randa Al Barazi | Otolaryngology | 3901 Beaubien St, Children's Hospital of Michigan, Detroit, MI 48201 | 2012-08-28 |
1538399621 | Sonal Saraiya | Otolaryngology | 3901 Beaubien St, Detroit, MI 48201-2119 | 2009-07-23 |
1174759815 | Nathan Gonik | Otolaryngology | 3901 Beaubien St, Suite 2102, Detroit, MI 48201-2119 | 2009-06-09 |
1134378730 | Ear, Nose & Throat Institute of Michigan, Pllc | Otolaryngology | 14555 Levan Rd, Suite 206, Livonia, MI 48154-5083 | 2008-09-18 |
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City | GRAND RAPIDS |
Zip Code | 49546 |
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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.