HARRY L STALEY (NPI# 1952387573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952387573 |
| Entity Type | Individual |
| Full Name | HARRY L STALEY |
| Credential | M.D. |
| Practice Address |
577 Michigan Ave Ste 203 Holland MI 49423-4911 |
| Practice Telephone | 6163935336 |
| Practice Fax Number | 6163922889 |
| Mailing Telephone | 6163935336 |
| Mailing Fax Number | 6163922889 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2014-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
01024344 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
577 MICHIGAN AVE STE 203 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497562 | Douglas Walvoord | Urology | 577 Michigan Ave, Ste 201, Holland, MI 49423-4911 | 2005-06-17 |
| 1508249129 | Grace Lee | Audiologist | 577 Michigan Ave, Suite 101, Holland, MI 49423-4911 | 2015-07-01 |
| 1265840425 | Holland Community Hospital | Internal Medicine | 577 Michigan Ave, Suite 203, Holland, MI 49423-4911 | 2014-07-31 |
| 1962742981 | Holland Hospital | Surgery | 577 Michigan Ave, Suite #202, Holland, MI 49423-4911 | 2013-02-28 |
| 1306123351 | Holland Community Hospital | Surgery | 577 Michigan Ave, Suite 202, Holland, MI 49423-4911 | 2011-11-04 |
| 1982910857 | Holland Community Hospital | Otolaryngology | 577 Michigan Ave, Suite 101, Holland, MI 49423-4911 | 2010-08-30 |
| 1639495690 | Peter Klaas Hoekman | Otolaryngology | 577 Michigan Ave, Suite 101, Holland, MI 49423-4911 | 2010-04-15 |
| 1508095530 | Holland Community Hospital | Psychiatry & Neurology | 577 Michigan Ave, Suite 203, Holland, MI 49423-4911 | 2009-07-12 |
| 1659519296 | Christina A Johnston | Psychiatry & Neurology | 577 Michigan Ave, Suite 203, Holland, MI 49423-4911 | 2009-02-03 |
| 1902065287 | Jessica Hafner | Surgery | 577 Michigan Ave, Suite 202, Holland, MI 49423-4911 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366401325 | Philip N Velderman | Internal Medicine | 12460 Riley St, Holland, MI 49424-8217 | 2006-03-20 |
| 1265840425 | Holland Community Hospital | Internal Medicine | 577 Michigan Ave, Suite 203, Holland, MI 49423-4911 | 2014-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
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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.