GRAND RIVER EMERGENCY MEDICAL GROUP PLC


Address: 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502
Phone: 6166856781

GRAND RIVER EMERGENCY MEDICAL GROUP PLC (NPI# 1114929353) 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) 1114929353
Entity Type Organization
Organization Name GRAND RIVER EMERGENCY MEDICAL GROUP PLC
Practice Address 200 Jefferson Ave Se
Grand Rapids
MI 49503-4502
Mailing Address Po Box Q
Grand Rapids
MI 49501-4917
Practice Telephone 6166856781
Mailing Telephone 8009686866
Mailing Fax Number 6165327230
Enumeration Date 2005-06-01
Last Update Date 2013-02-04
Authorized Official Name MARK FIGURSKI (PRESIDENT OF GROUP)
Authorized Official Telephone 8009686866
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 5101007471 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS BLUE SHIELD 500D111750 01
BLUE CROSS BLUE SHIELD 010D160910 01

Office Location

Street Address 200 JEFFERSON AVE SE
City GRAND RAPIDS
State MI
Zip Code 49503-4502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073130449 Jessica Goldsworthy Pharmacist 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-07-01
1851918551 Lacy J Worden Pharmacist 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-06-29
1669099560 Kamah Ellena Pharmacist 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-06-26
1629694344 Yoad Yechiel Porat Anesthesiology 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 2020-06-18
1851917587 Danuka Manupriya Ubayasena Anesthesiology 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 2020-06-18
1619593530 Albert Dongzhou Jiao Radiology 200 Jefferson Ave Se, Jefferson Suite 360, Grand Rapids, MI 49503 2020-06-17
1548882046 Rebecca Tourison Registered Nurse 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-05-07
1942821079 Breanne Nicole Ranucci Physician Assistant 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-04-29
1750901757 Nicholas Patrick Callahan Registered Nurse 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-04-20
1124668215 Brock Golembieski Physician Assistant 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 2020-01-07
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
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063933745 Sierra Debenham Emergency Medicine 100 Michigan Avenue, Grand Rapids, MI 49503 2017-07-03
1790216877 Lauren Turco Emergency Medicine 100 Michigan St Ne # Mc049, Grand Rapids, MI 49503-2560 2017-03-21
1336592856 Medexpress Urgent Care, PC - Michigan Emergency Medicine 3100 Plainfield Ave Ne, Grand Rapids, MI 49505-3261 2016-07-20
1083978142 David Swenson Emergency Medicine 100 Michigan St Ne # Mc49, Grand Rapids, MI 49503-2560 2012-07-03
1144503152 Trinh Le Emergency Medicine 6080 Kalamazoo Ave Se, Grand Rapids, MI 49508-7018 2011-09-26
1326336496 Clint L Mckee Emergency Medicine 1000 Monroe Nw, Grmep, Grand Rapids, MI 49503 2011-07-11
1326363789 David Beversluis Emergency Medicine 322 Aurora St Se, Grand Rapids, MI 49507-3124 2010-03-29
1669600078 Casey Lane Crandell Emergency Medicine 1000 Monroe Nw, Mc-49, Grand Rapids, MI 49503 2009-06-24
1417119777 Kara Beth Cardenas Emergency Medicine 100 Michigan St Ne # Mc-49, Grand Rapids, MI 49503-2560 2008-06-27
1740490200 Michelle Lee Whitford Emergency Medicine 100 Michigan St Ne # Mc-71, Grand Rapids, MI 49503-2560 2007-05-23
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

Improve Information

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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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