DR. ERIN MEGAN PETTIJOHN


Address: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608
Phone: 6166855600

DR. ERIN MEGAN PETTIJOHN (NPI# 1003101429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003101429
Entity Type Individual
Full Name DR. ERIN MEGAN PETTIJOHN
Other Name ERIN MEGAN BERNETHY
Credential M.D.
Practice Address 250 Cherry St Se Ste 2200
Grand Rapids
MI 49503-4608
Mailing Address 5800 Foremost Dr Se Ste 300
Grand Rapids
MI 49546-7062
Practice Telephone 6166855600
Mailing Telephone 6169549800
Enumeration Date 2011-06-14
Last Update Date 2020-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
4301111782 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
250 Cherry St Se Ste 2200, Grand Rapids, MI 495034608 6166855600
251 E Huron St, Galter 3-150, Chicago, IL 606112908 3129262000

Office Location

Street Address 250 CHERRY ST SE STE 2200
City GRAND RAPIDS
State MI
Zip Code 49503-4608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912936378 Elizabeth Ann Heyboer Physician Assistant 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2006-06-30
1013516533 Kelly Decker Social Worker 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2020-10-26
1285270736 Rachel Scott Nurse Practitioner 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2019-11-20
1508428897 Lauren Jongsma Nurse Practitioner 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2019-07-08
1528536133 Charity Landrum Physician Assistant 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2018-11-13
1952824328 Kristen George Social Worker 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2017-07-18
1518402577 Matthew Robert Fitzpatrick Physician Assistant 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2016-12-30
1760848634 Tricia Irene Lozon Physician Assistant 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2016-01-08
1558708891 Scott H Glass Psychologist 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2013-05-28
1952677031 Erin Lee Schwab Internal Medicine 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2012-03-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
Find all providers in zip 49503

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154585172 Kenneth A Krajewski Internal Medicine 1534 Groton Rd Se, Grand Rapids, MI 49506-4754 2008-07-18
1568641074 Frances Ying-nok Wong Internal Medicine 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546-7062 2007-10-31
1790727360 Anas Al-janadi Internal Medicine 145 Michigan St Ne Ste 5200, Grand Rapids, MI 49503-2565 2006-06-11
1639179286 Thomas E Gribbin Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2005-07-26
1003235391 Andrew Leo Sochacki Internal Medicine 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546-7062 2014-04-15
1952720906 Haritha Ganesh Reddy Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2014-04-07
1952677031 Erin Lee Schwab Internal Medicine 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2012-03-22
1174700256 Eric C. Santos Internal Medicine 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 2008-01-30
1972705838 Sreenivasa Chandana Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2007-06-04
1194934802 Latha Sree Polavaram Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2007-05-21
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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