DR. JEFFREY D. POSTLEWAITE (NPI# 1043219561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043219561 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY D. POSTLEWAITE |
| Credential | DO |
| Practice Address |
781 36th St Se Wyoming MI 49548-2319 |
| Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-9606 |
| Practice Telephone | 6162524100 |
| Practice Fax Number | 6162524953 |
| Mailing Telephone | 6162523243 |
| Mailing Fax Number | 6162520260 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2017-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 5101009306 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036074396 | 05 | |
| IL | BLUE CROSS BLUE SHIELD GROUP NUMBER | 04522934 | 01 |
| Street Address |
781 36TH ST SE |
| City | WYOMING |
| State | MI |
| Zip Code | 49548-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366814006 | Jennifer Lynn Bennetts | Nurse Practitioner | 781 36th St Se, Wyoming, MI 49548-2319 | 2015-10-21 |
| 1841549060 | Ali Marie Dunn | Nurse Practitioner | 781 36th St Se, Wyoming, MI 49548-2319 | 2012-09-04 |
| 1972753168 | Beth Ann Bohl | Social Worker | 781 36th St Se, Wyoming, MI 49548-2319 | 2008-09-24 |
| 1386834604 | Metropolitan Hospital | Obstetrics & Gynecology | 781 36th St Se, Wyoming, MI 49548-2319 | 2007-08-01 |
| 1215147335 | Jodie Elder | Pharmacist | 781 36th St Se, Wyoming, MI 49548-2319 | 2007-05-24 |
| 1437371788 | Darren Lloyd Grunwaldt | Neuromusculoskeletal Medicine & OMM | 781 36th St Se, Wyoming, MI 49548-2319 | 2007-05-03 |
| 1881787489 | Sandy L Stauffer | Physician Assistant | 781 36th St Se, Wyoming, MI 49548-2319 | 2006-10-02 |
| 1114947538 | Metropolitan Hospital | Internal Medicine | 781 36th St Se, Wyoming, MI 49548-2319 | 2006-07-20 |
| 1801812961 | Susan C. Sevensma | Family Medicine | 781 36th St Se, Wyoming, MI 49548-2319 | 2006-07-14 |
| 1144264003 | Karlin Edith Sevensma | Surgery | 781 36th St Se, Wyoming, MI 49548-2319 | 2006-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1053806794 | Candice M Buckles | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2018-06-26 |
| 1790270437 | Sarah L Edgerton | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-06-26 |
| 1609361344 | Maia Elise Sullivan | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2018-06-26 |
| 1366962664 | Lorene Dreisbach | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519 | 2017-06-27 |
| 1053831818 | Matthew Brian Shelnutt | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1558881300 | Charissa D Meredith | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1275984064 | Lauren K Lucas | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2016-06-23 |
| 1366892937 | Kaitlin Barabash | Obstetrics & Gynecology | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2016-06-15 |
| 1790199578 | Rachael Wilsmann | Obstetrics & Gynecology | 5900 Byron Center Ave Sw, Metro Health Hospital, Wyoming, MI 49519-9606 | 2014-06-19 |
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| 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.