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 · 4100 LAKE DR SE · Search Result

NPI Name Taxonomy Address Enumeration
1760578553 Peter L Jebson Orthopaedic Surgery 4100 Lake Dr Se, Ste. 300, Grand Rapids, MI 49546-8292 2006-10-05
1053403741 Karin Proos Pharmacist 4100 Lake Dr Se, Ste 300, Grand Rapids, MI 49546-8292 2006-09-29
1245331941 James R Lebolt Orthopaedic Surgery 4100 Lake Dr Se, Ste 300, Grand Rapids, MI 49546-8292 2006-09-26
1275638041 Eric Willmarth Psychologist 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 2006-09-14
1851497424 Wael Berjaoui Internal Medicine 4100 Lake Dr Se, Suite 200, Grand Rapids, MI 49546-8292 2006-09-14
1992812168 John Paul Cantor Internal Medicine 4100 Lake Dr Se, Suite 200, Grand Rapids, MI 49546-8292 2006-08-24
1821103193 Peter A Ugolini Orthopaedic Surgery 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 2006-08-20
1972512333 Melanie Sloffer Nurse Practitioner 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 2006-08-05
1083637003 Mmpc Weight Management Surgery 4100 Lake Dr Se, S-b01, Grand Rapids, MI 49546-8292 2006-07-25
1891718813 Michigan Medical Patient Care Clinic/Center 4100 Lake Dr Se, S-102, Grand Rapids, MI 49546-8292 2006-07-25
1912926916 Sandra Strandquist Social Worker 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 2006-07-19
1497774509 Craig Robert Vander Maas Counselor 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 47546 2006-07-19
1134148265 Paul William Delmar Psychologist 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-07-19
1699708875 Douglas K Tuttle Physician Assistant 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 2006-07-09
1649208497 Susan M Day Orthopaedic Surgery 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 2006-06-29
1245274547 Jukka Olavi Pietila Physical Therapist 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546-8292 2006-06-16
1689617011 Brian Buchanan Podiatrist 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 2006-06-14
1033152467 John F Harris Podiatrist 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 2006-06-14
1255372504 James Foote Surgery 4100 Lake Dr Se, Suite B01, Grand Rapids, MI 49546-8293 2006-06-09
1336180520 David Quimby Psychiatry & Neurology 4100 Lake Dr Se, S-100, Grand Rapids, MI 49546-8292 2006-06-09
1124069703 Martin Luchtefeld Colon & Rectal Surgery 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 2006-06-08
1477593473 Thomas Rupp Internal Medicine 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 2006-06-07
1700826880 Glenn Vanotteren Internal Medicine 4100 Lake Dr Se, S-200, Grand Rapids, MI 49546-8292 2006-06-07
1760422786 Marc Mcclelland Internal Medicine 4100 Lake Dr Se, S-200, Grand Rapids, MI 49546-8292 2006-06-07
1528008554 Michael Harrison Internal Medicine 4100 Lake Dr Se, Suite 200, Grand Rapids, MI 49546-8292 2006-06-07
1538109574 Stephen Fitch Internal Medicine 4100 Lake Dr Se, S-200, Grand Rapids, MI 49546-8292 2006-06-07
1366481046 Gregory Sandman Internal Medicine 4100 Lake Dr Se, S-200, Grand Rapids, MI 49546-8292 2006-06-06
1659310399 Robert Riley Internal Medicine 4100 Lake Dr Se, S-200, Grand Rapids, MI 49546-8292 2006-06-06
1548209000 Donald Kim Surgery 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 2006-06-06
1760421440 Ben Kieff Internal Medicine 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 2006-06-06
1265471957 Michael Raphael Puff Internal Medicine 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 2006-06-06
1568419745 Rebecca Hoedema Colon & Rectal Surgery 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 2006-05-31
1154378404 Heather Slay Colon & Rectal Surgery 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 2006-05-30
1467409029 James W Ogilvie Jr. Surgery 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 2006-05-28
1255388104 James Fuson Internal Medicine 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 2006-05-27
1902853880 Chaitanya Acharya Internal Medicine 4100 Lake Dr Se, S-200, Grand Rapids, MI 49546-8292 2006-05-27
1104872480 Carol Sunday-rasche Psychologist 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-05-26
1780630772 Yelena Yavich Internal Medicine 4100 Lake Dr Se, S-200, Grand Rapids, MI 49546-8292 2006-05-25
1285680132 Gregory Osborne Internal Medicine 4100 Lake Dr Se, S-205, Grand Rapids, MI 49546-8292 2006-05-25
1508812322 Wayne Couwenhoven Internal Medicine 4100 Lake Dr Se, S-200, Grand Rapids, MI 49546-8292 2006-05-25
1093760357 Nadav Dujovny Surgery 4100 Lake Dr Se, Ste 300, Grand Rapids, MI 49546-8292 2006-05-24
1336194174 Dawn Kay Rude Physical Therapist 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-05-23
1730134479 Mark Scarlato Physical Therapist 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 2006-05-23
1003860404 Tella Katarina Minkkinen Physical Therapist 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-05-20
1902859754 Sakari Antero Perttula Physical Therapist 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-05-19
1073567806 Michigan Medical Patient Care Hospitalist 4100 Lake Dr Se, Ste 300, Grand Rapids, MI 49546-8292 2006-05-19
1003869215 Randall Scott Meisner Internal Medicine 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 2006-05-18
1043269301 Jason Harold Calhoun Orthopaedic Surgery 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546-8292 2006-05-06
1780642355 Grand Rapids Addiction Medicine Specialists PC Internal Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546-8292 2006-05-03
1134186513 Bennett L Willard Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-04-28
1306803010 Daniel Mark Mankoff Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-04-27
1376509158 Stephen Lee Winston Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-04-21
1457315095 Joseph Yared Vanden Bosch Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-04-12
1154385797 Jennifer Sue White Nurse Practitioner 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-04-12
1144284761 Deborah Kay Hunter Physician Assistant 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546-8292 2006-04-12
1619930575 Thomas Michael Basch Pain Medicine 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 2006-04-10
1144281080 Kevin Edward Fitzgerald Pain Medicine 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 2006-03-30
1023079290 Walter M Braunohler Orthopaedic Surgery 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 2006-03-29
1225007206 Scott Howard Greenwald Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-03-14
1811964075 Phillip J Adler Specialist/Technologist 4100 Lake Dr Se, Orthopaedics and Sports Medicine, Suite 305, Grand Rapids, MI 49546-8292 2006-03-07
1003882622 Marykay Lehman Internal Medicine 4100 Lake Dr Se, Suite 200, Grand Rapids, MI 49546-8292 2006-02-23
1881669224 Shannon J. Todd Physician Assistant 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546 2006-02-21
1710951488 Kendra Lynn Lowing Physician Assistant 4100 Lake Dr Se, Suite 200, Grand Rapids, MI 49546-8292 2006-02-17
1205806858 Ryan E. Figg Surgery 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 2006-01-25
1649255563 Barbara B Blakely Physician Assistant 4100 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8292 2005-12-14
1336120575 Charles P Bray Physician Assistant 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546-8292 2005-11-07
1033106190 Brian P Burns Physician Assistant 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546-8292 2005-10-04
1477548832 Robert A Burghduf Jr. Physician Assistant 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2005-09-13
1023648912 Breanne Renae Cook Nurse Practitioner 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2020-01-21
1588204598 Sarah Elizabeth Knoll Nurse Practitioner 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2020-01-08
1710450259 Bridget Leigh Schafer Nurse Practitioner 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2019-01-08
1043797830 Janiece Ann Feuerstein Nurse Practitioner 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2018-07-24
1457837460 Alyssa Shea Caminata Nurse Practitioner 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2018-07-12
1326577404 Caitlin Megan Greene Physician Assistant 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2017-06-12
1881138220 Courtney Golding Psychologist 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2016-12-05
1194178178 Ravi Kanth Velagapudi Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2016-07-14
1942652961 Disha Geriani Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2016-07-02
1700249141 Mohammed B Al-charakh Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2016-04-02
1861892556 Pranav Kidambi Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2014-08-29
1639584196 Jeremy Bradford Petrous Psychiatry & Neurology 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 2014-06-24
1801214226 David Andrew Folt Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2014-04-02
1376961177 Lillie Anna Montgomery Morgan Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2014-03-31
1457779274 Kevin Charles Patterson Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2014-03-29
1295164820 Natalie Mattson Nurse Practitioner 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2013-11-04
1013357722 Stephen Thomas Doyle Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2013-06-26
1740539733 Malik Muhammad Humayunsher Khan Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 2012-09-05
1306193735 Syed Ali Masum Razvi Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 2012-08-03
1376804674 Anna Conterato Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 2012-06-04
1487948329 Sheila Krishnan Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2011-06-08
1699075333 Jessica Tyrell Physician Assistant 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2010-10-28
1497072466 Sarah Lynne Mika Physician Assistant 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2010-04-29
1013232453 Amy Lynn Zomerlei Nurse Practitioner 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2010-03-29
1821232455 Kelly Anne Waters Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2009-04-27
1295977221 John Patrick Egan IIi Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 2009-04-06
1407015084 Janet S Laprairie Physician Assistant 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2008-06-09
1356500409 Daniel Douglas Herrick Psychiatry & Neurology 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2008-06-04
1083730907 Ravichand Madala Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2007-03-22
1124100508 John Richard Parker Physician Assistant 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2006-10-19
1417050535 Regina R Koorndyk Physician Assistant 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2006-09-06
1619088580 Jason Patrick Coles Internal Medicine 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 2006-08-31