National Provider Identifier (NPI)
GRAND RAPIDS


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

GRAND RAPIDS · 1601 GOLF COURSE RD · Search Result

NPI Name Taxonomy Address Enumeration
1326023060 Jack Victor Carlisle Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-14
1568076602 Tyler Wesley Waller Pharmacist 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2020-09-05
1699397042 Tiffany Alicia Axtman Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2020-05-08
1710511282 Kelly Manner Dietitian, Registered 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2020-02-24
1285273292 Patrick James Nelson Physician Assistant 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2019-12-23
1801446943 Natalie Jo Castle Physician Assistant 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2019-09-19
1578121356 Fairview Pharmacy Services LLC Non-Pharmacy Dispensing Site 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2019-06-05
1487210233 Jake Heggem Pharmacist 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2019-05-17
1902379159 Grand Itasca Clinic and Hospital Pharmacy 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2019-01-09
1548768534 Michelle Overbye Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744 2018-01-25
1922457969 Angela Degrio Obstetrics & Gynecology 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2016-06-10
1932558558 Suzette Childs Registered Nurse 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2016-06-03
1902250400 Aislinn Rogalla Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2016-04-20
1811350093 Bradford Wankhede Langenfeld Emergency Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2016-04-04
1255793261 Arie Degrio Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2016-03-28
1194111823 Gillette Children's Specialty Healthcare Durable Medical Equipment & Medical Supplies 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2015-04-09
1164823225 David Johnson Pharmacist 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2014-09-09
1225441157 Grand Itasca Clinic and Hospital Pharmacy 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2014-06-09
1275968646 Julia Lynn Statsman Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2013-09-04
1740621945 Jonathan James Germscheid Surgery 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2013-07-16
1265872261 Suzanne Lois Aldrich Nurse Practitioner 1601 Golf Course Rd, Grand Itasca Clinic and Hospital, Grand Rapids, MN 55744-8648 2013-07-05
1134562309 Kathryn Lynn Johnson Obstetrics & Gynecology 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2013-04-08
1598006579 Lisa Mei Vekich Registered Nurse 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2013-03-15
1811285042 Shelly M Soltis Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2011-07-21
1417241571 Stacy Kate Friesen Holl Internal Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2011-06-07
1639471972 Sherry Ann Simon Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2010-11-18
1609185263 Nathan R Tiwari Emergency Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2010-09-30
1023326980 Grand Itasca Clinic and Hospital Non-Pharmacy Dispensing Site 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2010-09-14
1871808733 Jennifer Oja Physician Assistant 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2010-08-16
1972828788 Nathan Jim Davis Registered Nurse 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2010-04-05
1174852263 Jodie Kaye Carey Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2009-12-18
1538493895 Theresa M Fox Pharmacist 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2009-09-18
1093048407 Melissa Nicole Walters Pharmacist 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2009-09-16
1922238823 Simon Leo Lick Internal Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2009-07-26
1508007659 Keith Murphy Internal Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2009-03-19
1396908521 Darin Skaudis Internal Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2008-07-08
1801088505 Brenda S. Enright Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2007-08-16
1699966184 Jeremy Todd Carlson Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2007-08-08
1265559546 Thomas G. Jones Nurse Anesthetist, Certified Registered 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2007-03-23
1285751271 Jim S. Davis Nurse Anesthetist, Certified Registered 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2007-03-23
1669507695 Peggy Colleen Grossell Registered Nurse 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2007-02-22
1457486482 Traci Kay Olson Registered Nurse 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2007-02-22
1861568289 Troy Dewayne Erickson Orthopaedic Surgery 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-11-28
1619041860 Amber L. Johnson Nurse Anesthetist, Certified Registered 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-11-20
1194895888 Paula C Dearholt-winckler Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-11-09
1396814653 Valerie Ann Plackner Dietitian, Registered 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-11-08
1952488991 Nathan M Noznesky Surgery 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-11-01
1497836894 Daniel William Soular Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-10-18
1629164983 Antoinette Youngdahl Palecek Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-10-05
1184718470 Kristin Klinefelter Dietitian, Registered 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-10-03
1023116522 Mark A. Rasmusson Physician Assistant 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-09-20
1669426631 Grand Itasca Clinic and Hospital Rehabilitation Unit 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-05-22
1265492912 Derek A Beyer Obstetrics & Gynecology 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-03-26
1699745331 Thomas J. Viren Emergency Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-01-25
1295705101 Elly Trepman Orthopaedic Surgery 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-01-24
1952371189 Michael D. Johnson Emergency Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-01-23
1073591160 Anne Eileen Tofte Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-01-09
1922086958 Kevin P Gildner Obstetrics & Gynecology 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-01-09
1598743494 Jean Thom Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-01-03
1255319026 Michael B. Liebe Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-01-03
1538147327 Dennis F. Scherer Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2006-01-03
1649257882 Roberta L. Zimmerman Pathology 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-29
1609853027 Janice M. Rourk Pediatrics 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-28
1497732069 Marc A. Fowler Internal Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-27
1649257213 Terri J. Radovich Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-27
1841277415 Steven F. Lader Anesthesiology 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-27
1194702779 Timothy J. Pehl Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-27
1255318804 Shannon R. Harker Pediatrics 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1437136090 Cary R. Cole-anthony Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1568449106 Peter M. Friedlieb Internal Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1912984550 Scott Gerling Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1376520916 Jamison L. Harker Internal Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1285611822 Richard J Helvig Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1902883549 Roy D. Kjorlien Chiropractor 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1720065360 John A. Kole Surgery 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1518944156 David C. Loken Orthopaedic Surgery 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1881671428 Shara D. Pehl Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1609853258 Roger A. Ralston Internal Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1336126986 William L. Rutherford Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1598742140 Kenneth L. Stapleton Psychologist 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1952388506 Rosetta K. Villeneuve Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-26
1700862562 Pamela M. Friesen Nurse Practitioner 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-22
1033195805 Patricia C. Carlin-janssen Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-22
1811973670 Cathy J. Cleary Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-22
1083691828 Edwin A. Anderson Family Medicine 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 2005-12-22