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 · 4069 LAKE DR SE · Search Result

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
1699084871 Spectrum Health Primary Care Partners Allergy & Immunology 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 2010-10-05
1386959856 Spectrum Health Primary Care Partners Podiatrist 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2010-08-09
1356653380 Spectrum Health Primary Care Partners Colon & Rectal Surgery 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 2010-07-07
1154644136 Jodie Megan Blake Physical Therapist 4069 Lake Dr Se, Suite 114, Grand Rapids, MI 49546-8816 2010-03-05
1679801328 Debbie A Verbrugge Physical Therapist 4069 Lake Dr Se, Suite 114, Grand Rapids, MI 49546-8816 2009-11-18
1740419001 John E Humphrey Urology 4069 Lake Dr Se, Ste 313, Grand Rapids, MI 49546-8816 2009-07-08
1093958621 Christopher Michael Brede Urology 4069 Lake Dr Se, Ste 313, Grand Rapids, MI 49546-8816 2009-04-13
1114165214 Judy Essenberg Technician/Technologist 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2009-01-27
1407007701 Michigan Medical Patient Care Durable Medical Equipment & Medical Supplies 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 2008-10-06
1760648364 Stefano John Bordoli Surgery 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 2008-08-03
1699939272 Jamie Mosher Surgery 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 2008-07-14
1952565749 Michigan Medical PC Optometrist 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2008-07-11
1235392598 Justin Simmons Surgery 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 2008-07-08
1386807139 Arashdeep Litt Internal Medicine 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 2008-07-02
1689835720 Jill D Tallman Physician Assistant 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2008-06-20
1417122011 Kristin Dykstra Physician Assistant 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 2008-04-24
1124290341 Michigan Medical Patient Care Surgery 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 2008-03-27
1124200423 Shelly L Oostindie Audiologist 4069 Lake Dr Se, Ste 315, Grand Rapids, MI 49546-8816 2007-11-29
1174727010 Todd D Jones Otolaryngology 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2007-06-13
1306048442 Jennifer J. Watson Surgery 4069 Lake Dr Se, Suite 114, Grand Rapids, MI 49546-8816 2007-06-01
1063613800 Hector Pimentel Urology 4069 Lake Dr Se, Suite 313, Grand Rapids, MI 49546-8816 2007-05-30
1154532448 Chad Afman Otolaryngology 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2007-05-25
1396954376 Eanas S Yassa Surgery 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 2007-05-22
1801005251 Andrew Charles Heaford Otolaryngology 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2007-05-22
1184831869 Christopher M Chambers Surgery 4069 Lake Dr Se, Ste. 312, Grand Rapids, MI 49546-8816 2007-05-16
1225254907 Jason D. Slaikeu Surgery 4069 Lake Dr Se, Ste. 312, Grand Rapids, MI 49546-8816 2007-04-18
1588787006 Brian R Lane Urology 4069 Lake Dr Se, Ste. 313, Grand Rapids, MI 49546-8816 2007-04-09
1174689608 Michigan Medical Patient Care Podiatrist 4069 Lake Dr Se, Suite 315 B, Grand Rapids, MI 49546-8816 2006-12-29
1649334590 Michigan Medical Patient Care Ophthalmology 4069 Lake Dr Se, Suite 315 D, Grand Rapids, MI 49546-8816 2006-12-21
1316001100 Michigan Medical Patient Care Durable Medical Equipment & Medical Supplies 4069 Lake Dr Se, Suite 315d, Grand Rapids, MI 49546-8816 2006-12-19
1104989920 Michigan Medical Patient Care Orthopaedic Surgery 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2006-12-19
1871657668 Michigan Medical Patient Care Durable Medical Equipment & Medical Supplies 4069 Lake Dr Se, Ste. 114, Grand Rapids, MI 49546-8816 2006-12-19
1255494449 Michigan Medical Patient Care Durable Medical Equipment & Medical Supplies 4069 Lake Dr Se, Suite 313, Grand Rapids, MI 49546-8816 2006-12-18
1427111624 Michigan Medical Patient Care Durable Medical Equipment & Medical Supplies 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2006-12-18
1548334576 Donald J Scholten Surgery 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 2006-11-20
1154403889 Christine Eardley Physical Therapist 4069 Lake Dr Se, Ste 114, Grand Rapids, MI 49546-8816 2006-10-20
1801978754 Michigan Medical Patient Care Physical Medicine & Rehabilitation 4069 Lake Dr Se, Ste 114, Grand Rapids, MI 49546-8816 2006-10-19
1174605547 Michael Charles West Physician Assistant 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 2006-10-19
1720178940 Scott J Henderson Physical Therapist 4069 Lake Dr Se, Ste 114, Grand Rapids, MI 49546-8816 2006-10-16
1083632426 Michigan Medical Patient Care Optometrist 4069 Lake Dr Se, S-315, Grand Rapids, MI 49546-8816 2006-07-17
1235168089 Andrzej Marian Chebes Internal Medicine 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 2006-07-02
1487697421 M Ashraf Mansour Surgery 4069 Lake Dr Se, S-312, Grand Rapids, MI 49546-8816 2006-06-14
1992748198 Marko Habekovic Ophthalmology 4069 Lake Dr Se, Suite 118, Grand Rapids, MI 49546-8816 2006-06-14
1417999483 Debra Youngsma Audiologist 4069 Lake Dr Se, Ste 315, Grand Rapids, MI 49546-8816 2006-06-12
1114969714 Seth W Wolk Surgery 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 2006-06-11
1336180553 Eric Weinman Otolaryngology 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2006-06-09
1710928007 Keith Postma Otolaryngology 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2006-06-09
1447291737 Francis Hart Otolaryngology 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2006-06-09
1306887989 Kathryn Kozak Audiologist 4069 Lake Dr Se, Ste. 315, Grand Rapids, MI 49546-8816 2006-06-08
1558301556 Philip Hoekstra Urology 4069 Lake Dr Se, S-313, Grand Rapids, MI 49546-8816 2006-06-07
1619917986 Michael Johnson Physician Assistant 4069 Lake Dr Se, S-313, Grand Rapids, MI 49546-8816 2006-06-07
1518906221 Jonathan Todd Bolthouse Urology 4069 Lake Dr Se, S-313, Grand Rapids, MI 49546-8816 2006-06-06
1114966538 Gary Bissonette Physician Assistant 4069 Lake Dr Se, S-312, Grand Rapids, MI 49546-8816 2006-06-05
1699714824 Kandace M Ward Physician Assistant 4069 Lake Dr Se, Ste 313, Grand Rapids, MI 49546-8816 2006-06-05
1003854415 Robert Cuff Surgery 4069 Lake Dr Se, S-312, Grand Rapids, MI 49546-8816 2006-06-04
1801843032 Benjamin Horn Internal Medicine 4069 Lake Dr Se, Suite 113, Grand Rapids, MI 49546-8816 2006-05-31
1891742268 John Rienstra Surgery 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 2006-05-30
1497702799 Karen Gawel Internal Medicine 4069 Lake Dr Se, Suite 113, Grand Rapids, MI 49546-8816 2006-05-30
1427005388 Thompson Southwell Jr. Urology 4069 Lake Dr Se, S-313, Grand Rapids, MI 49546-8816 2006-05-27
1487600888 Marian Oleszkowicz Internal Medicine 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 2006-05-26
1164478509 Sam Giovannucci Internal Medicine 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 2006-05-26
1366498222 Graham Barnett Urology 4069 Lake Dr Se, S-313, Grand Rapids, MI 49546-8816 2006-05-25
1366433732 Jodi L Hamblin Family Medicine 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 2005-11-03
1215338090 Christina Hopps Physician Assistant 4069 Lake Dr Se Ste 114, Grand Rapids, MI 49546-8816 2014-09-11
1487637492 Casey Laine Parini Obstetrics & Gynecology 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2005-11-23
1528561271 Amy Bourne Rozelle Physical Therapist 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2018-03-08
1205287752 Luann Vanderlind Arnson Social Worker 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2016-06-27
1356757173 Natasha Love Peoples Nurse Practitioner 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2014-07-02
1134552029 Elizabeth Ellen Payne Physician Assistant 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2013-08-14
1194092957 Laura M Defraia Nurse Practitioner 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2011-11-22
1033494307 Elizabeth Michel Harris Physical Therapist 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2011-10-18
1295051209 Natasha D Dehaan Nurse Practitioner 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2010-04-15
1538312889 Julie Ann Ondersma Nurse Practitioner 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2008-10-30
1992956643 Anya F Nyson Social Worker 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2008-09-30
1285696591 Sarah B Arnold Obstetrics & Gynecology 4069 Lake Dr Se Ste 118, Grand Rapids, MI 49546-8816 2006-04-03
1407313802 Spectrum Health Hospitals Clinic/Center 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 2019-02-22
1740633700 Sheri Lee Tack Nurse Practitioner 4069 Lake Dr Se Ste 312, Grand Rapids, MI 49546-8816 2016-07-14
1609373745 Rebecca Michelle Van Zanen Physician Assistant 4069 Lake Dr Se Ste 312, Grand Rapids, MI 49546-8816 2018-04-06
1093755092 Richard Kahnoski Urology 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2006-06-07
1508352832 Allison Margaret Toth Nurse Practitioner 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2018-07-10
1497110852 Ashley Lynn Schmidt Physician Assistant 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2015-12-29
1780080762 Nicole Shellenbarger Physician Assistant 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2014-11-18
1366853293 Conrad Maxwell Tobert Urology 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2014-05-14
1528403235 George Michael Ghareeb Urology 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2013-05-08
1568662112 Michael Jon Lyons Physician Assistant 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 2007-07-23
1205837689 John P Roche Otolaryngology 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 2005-08-09
1568098986 Kloe Shaye Carpenter Physician Assistant 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 2020-03-17
1841768777 Lauren Marie Wylie Physician Assistant 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 2018-11-08
1396232849 Gabrielle Wiarda Social Worker 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546 2018-04-20
1639609407 Megan Jean Madole Nurse Practitioner 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 2017-06-14