MOLLY P CRISSMAN (NPI# 1902808165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902808165 |
| Entity Type | Individual |
| Full Name | MOLLY P CRISSMAN |
| Credential | MD |
| Practice Address |
15100 Whittaker Way Grand Haven MI 49417-8696 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6169356320 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301068764 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3352508 | 05 |
| Street Address |
15100 WHITTAKER WAY |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-8696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303117 | Thomas F. Alguire | Internal Medicine | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2005-06-01 |
| 1417581265 | River A David | Physician Assistant | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2020-03-02 |
| 1003458423 | Kelly Lynn Ouellette | Occupational Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2019-10-17 |
| 1114570595 | Ciera Marie Grevengoed | Physical Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2019-07-24 |
| 1720547250 | Karoline Luise Arsenault | Physician Assistant | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2019-03-14 |
| 1922566462 | Cara Ashni Schipper | Occupational Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2019-03-04 |
| 1942778915 | Rachael Joymarie Scoby | Speech-Language Pathologist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-11-08 |
| 1447727326 | Laura Lynn Rohrs | Nurse Practitioner | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-10-29 |
| 1194209247 | Melissa Lynn Lewandowski | Physical Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-09-24 |
| 1659853182 | Brandi Sue Brower | Social Worker | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548619943 | Kevin Andrew Smalley | Family Medicine | 1310 Wisconsin St Ste 103, Grand Haven, MI 49417-2472 | 2016-06-07 |
| 1184080806 | Daniel J. Graham, D.o., P.C. | Family Medicine | 925 S Beechtree St, Suite 1a, Grand Haven, MI 49417-2387 | 2016-01-11 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1508033283 | Michigan Medical Patient Care | Family Medicine | 302 S Beechtree St, Grand Haven, MI 49417-2004 | 2008-05-13 |
| 1508876236 | Martin T Russo Jr. | Family Medicine | 1310 Wisconsin Ave Ste 103, Grand Haven, MI 49417 | 2006-08-08 |
| 1811961899 | Donald Ezra Rutherford | Family Medicine | 1159 S Harbor Dr, Suite C4, Grand Haven, MI 49417-1796 | 2006-02-15 |
| 1457321119 | James Arthur Postema | Family Medicine | 1310 Wisconsin Street Suite 301, North Ottawa Family Practice, Grand Haven, MI 49417 | 2006-01-25 |
| 1154322113 | William H Dukes | Family Medicine | 1091 S Beacon Blvd, Grand Haven, MI 49417-2607 | 2005-08-02 |
| 1003811092 | Lee Michael Sterenberg | Family Medicine | 600 Park Ave, Grand Haven, MI 49417-2173 | 2005-06-16 |
| 1386648624 | David Thomas Ottenbaker | Family Medicine | 1445 Sheldon Rd, Suite 201, Grand Haven, MI 49417-2480 | 2005-06-01 |
| Find all providers in GRAND HAVEN | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
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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.