JOHN MAHAJAN


Address: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292
Phone: 6162678860

JOHN MAHAJAN (NPI# 1013264787) 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) 1013264787
Entity Type Individual
Full Name JOHN MAHAJAN
Credential MD
Practice Address 4100 Lake Dr Se Ste 300
Grand Rapids
MI 49546-8292
Mailing Address 100 Michigan St Ne # Mc845
Grand Rapids
MI 49503-2560
Practice Telephone 6162678860
Enumeration Date 2012-08-12
Last Update Date 2019-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 4301114942 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
450 Stanyan St, San Francisco, CA 941171019 4157505782
55 Fruit St, Boston, MA 021142621 6176437436

Office Location

Street Address 4100 LAKE DR SE STE 300
City GRAND RAPIDS
State MI
Zip Code 49546-8292

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366439432 Michael Lee Bills Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2005-10-04
1164064895 Lorelle Joy Vanbeek Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2019-10-15
1558829051 Jordan Taylor Friedrich Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2019-03-04
1548732381 Erin Marie Willink Nurse Practitioner 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2018-12-18
1003387655 Vanessa Rae Smitko Nurse Practitioner 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2018-12-07
1033608559 Jenade Holloway Specialist/Technologist 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2018-05-10
1831617497 Alexandra Marquis Schumar Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2017-09-05
1508387093 Megan Davis Specialist/Technologist 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2017-07-05
1356707483 Tsz Kit Kevin Chan Orthopaedic Surgery 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2016-01-05
1033503594 Jacob H Reisner Physical Medicine & Rehabilitation 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2015-03-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
Find all providers in zip 49546

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053773507 Charles Trevor Crellin Orthopaedic Surgery 221 Michigan St Ne Fl 4, Grand Rapids, MI 49503-2543 2016-03-23
1366799124 Marci Anne Bartholomew Orthopaedic Surgery 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 2012-08-11
1568723484 Gable Bert Moffitt Orthopaedic Surgery 221 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2543 2012-06-07
1114287893 Larry W Fitzsimmons Orthopaedic Surgery 7660 Pine Park Dr Se, Grand Rapids, MI 49546-9130 2012-05-29
1073809935 Katherine J Sage Orthopaedic Surgery 1195 Wilson Ave Nw Ste 200, Grand Rapids, MI 49534-6405 2011-06-20
1831418151 Rohan Ashok Habbu Orthopaedic Surgery 1422 Dewberry Pl Ne, Apt 16, Grand Rapids, MI 49505-6918 2010-05-26
1750543674 Mary A Herzog Orthopaedic Surgery 300 Lafayette Ave Se # 3400, Grand Rapids, MI 49503-4600 2008-07-01
1184883605 Melissa Marie Peters Orthopaedic Surgery 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503-2565 2008-06-09
1871782136 Casey R Bartman Md PC Orthopaedic Surgery 751 Kenmoor Ave, Grand Rapids, MI 49546 2007-10-23
1871629857 Thomas G Schwaderer Orthopaedic Surgery 2558 Alger Se, Grand Rapids, MI 49546-5602 2007-02-26
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49546

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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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