CHRISTOS KONSTANTELOS (NPI# 1114970936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114970936 |
| Entity Type | Individual |
| Full Name | CHRISTOS KONSTANTELOS |
| Credential | DO |
| Practice Address |
245 Cherry St Se Ste 306 Grand Rapids MI 49503 |
| Mailing Address |
245 State St Se Ste 228 Grand Rapids MI 49503 |
| Practice Telephone | 6166858512 |
| Practice Fax Number | 6163369952 |
| Mailing Telephone | 6166858050 |
| Mailing Fax Number | 6166851850 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5101012211 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4774950 | 05 |
| Street Address |
245 CHERRY ST SE STE 306 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768820 | Stacyann Steen | Family Medicine | 245 Cherry St Se, Ste 100, Grand Rapids, MI 49503 | 2005-08-23 |
| 1831691138 | Douglas Craig Sjoerdsma Jr. | Physical Therapist | 245 Cherry St Se, Grand Rapids, MI 49503-4607 | 2018-03-02 |
| 1821537143 | Malorie Venlet | Social Worker | 245 Cherry St Se, Suite 200, Grand Rapids, MI 49503-4607 | 2017-02-20 |
| 1902275506 | Margaret Vandewater | Nurse Practitioner | 245 Cherry St Se, Suite 100, Grand Rapids, MI 49503-4607 | 2015-09-24 |
| 1356764674 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2014-01-22 |
| 1649601295 | Shanna Henderson | Physician Assistant | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2013-12-09 |
| 1417208463 | Stephanie Dora Smith | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-09-29 |
| 1427303452 | Mary Jo Richard | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-07-16 |
| 1134483340 | Crystal Ann Zilo | Obstetrics & Gynecology | 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 | 2012-07-02 |
| 1982991683 | Aileen Elizabeth M Ampil Antonio | Ophthalmology | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2011-07-01 |
| Find all providers in the same location | ||||
| 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 Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912427402 | Stephen Gunnink | Pediatrics | 100 Michigan St. Se, Grand Rapids, MI 49503-2527 | 2017-06-26 |
| 1003336595 | Cory Minier Schmidt | Pediatrics | 330 Barclay Ave Ne Ste 330, Grand Rapids, MI 49503-2556 | 2017-06-26 |
| 1093165144 | David Jacob Hoogstra | Pediatrics | 100 Michigan St Ne # Mc085, Grand Rapids, MI 49503-2560 | 2016-06-20 |
| 1063895845 | Megan Elizabeth Conway | Pediatrics | 100 Michigan St Ne # Mc13, Grand Rapids, MI 49503-2560 | 2015-06-30 |
| 1205188653 | Vernon D. Vaandrager | Pediatrics | 3760 Ravine Vista Dr. Se, Grand Rapids, MI 49508-8867 | 2012-10-10 |
| 1386907491 | Jennifer Christine Curtis | Pediatrics | 35 Michigan St Ne Ste 5301, Grand Rapids, MI 49503-2530 | 2012-06-22 |
| 1942597729 | Miranda Louise Hillard | Pediatrics | 330 Barclay, Suite 300, Grand Rapids, MI 49503-2527 | 2011-06-30 |
| 1942509278 | Julie Ann Kirby | Pediatrics | 100 Michigan St Ne # Mc169, Grand Rapids, MI 49503-2560 | 2011-03-25 |
| 1306156443 | Spectrum Health Primary Care Partners | Pediatrics | 545 Michigan St Ne, Suite 203, Grand Rapids, MI 49503-5727 | 2010-10-07 |
| 1649583675 | Cheryl Lynn Dyksen | Pediatrics | 100 Michigan St Ne # 13, Grand Rapids, MI 49503-2560 | 2010-07-19 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on CHRISTOS KONSTANTELOS.
| 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.