DR. STEPHANE GRIJSEELS (NPI# 1902998792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902998792 |
| Entity Type | Individual |
| Full Name | DR. STEPHANE GRIJSEELS |
| Credential | MD |
| Practice Address |
420 W Magnetic St Marquette MI 49855-2711 |
| Practice Telephone | 9062253540 |
| Mailing Telephone | 9062253540 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301069036 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4813682 | 05 | |
| MI | RAILROAD MEDICARE | P00273195 | 01 |
| WI | 34089100 | 05 | |
| MI | HEALTH PLAN OF MI | 4813682 | 01 |
| MI | MOLINA HEALTHCARE | 4813682 | 01 |
| Street Address |
420 W MAGNETIC ST |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959750 | Marquette General Hospital, Inc. | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2005-06-01 |
| 1811382641 | Dlp Marquette General Hospital LLC | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2700 | 2015-03-30 |
| 1720429566 | Carol Buentello | Nurse Practitioner | 420 W Magnetic St, Marquette, MI 49855-2700 | 2013-07-09 |
| 1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
| 1174871305 | Dlp Marquette General Hospital LLC | Rehabilitation, Substance Use Disorder Unit | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-20 |
| 1366790727 | Dlp Marquette Physician Practices Inc | Physician Assistant | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-16 |
| 1699022590 | Dlp Marquette General Hospital LLC | Hearing Aid Equipment | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-09 |
| 1942505268 | Marquette General Hospital | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Marquette, MI 49855-2711 | 2011-01-18 |
| 1598078933 | Marquette General Health Systems | General Acute Care Hospital | 420 W Magnetic St, Marquette, MI 49855-2711 | 2010-07-14 |
| 1164746475 | Tricia Leigh Tollenaar | Nurse Anesthetist, Certified Registered | 420 W Magnetic St, Anesthesia Dept., Marquette, MI 49855-2711 | 2010-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134211931 | Charles Stephen Henry | Radiology | 581 Lakewood Ln, Marquette, MI 49855-9544 | 2006-09-29 |
| 1912099714 | Heidi Kristine Henry | Radiology | 420 E Hewitt Ave, Marquette, MI 49855-3714 | 2006-09-29 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1902157027 | Dlp Marquette Physician Practices Inc | Radiology | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-09-28 |
| 1427383009 | Marquette General Hospital, Inc. | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2009-10-15 |
| 1841450772 | John Pietila | Radiology | 710 Chippewa Sq, Suite 101, Marquette, MI 49855-4821 | 2008-06-13 |
| 1396916094 | Excalibur Medical Imaging, LLC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2008-03-20 |
| 1275672867 | Hasnain Haider-shah | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2007-02-06 |
| 1730283805 | Christina Arnoldus | Radiology | 580 W College Ave, Marquette, MI 49855-2705 | 2006-09-11 |
| 1003847856 | Northcoast Radiology Associates, PC | Radiology | 420 W Magnetic St, Marquette, MI 49855-2711 | 2006-07-06 |
| Find all providers in MARQUETTE | ||||
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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.