RAJEEV DEVESHWAR (NPI# 1144269432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144269432 |
| Entity Type | Individual |
| Full Name | RAJEEV DEVESHWAR |
| Credential | M.D. |
| Practice Address |
25 Michigan St Ne Ste 6100 Spectrum Health Medical Group Neurovascular/stroke Offi Grand Rapids MI 49503-2561 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677900 |
| Practice Fax Number | 6162677901 |
| Mailing Telephone | 6164866790 |
| Mailing Fax Number | 6164866702 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036100789 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
4301053380 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301053380 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036100789 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
4301053380 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036100789 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN (GROUP) | 206147 | 01 | |
| MEDICARE PTAN (INDIVIDUAL) | 206147039 | 01 | |
| MEDICARE RAILROAD (GROUP) | CA4748 | 01 | |
| MEDICARE RAILROAD (INDIVIDUAL) | P00904920 | 01 |
| Street Address |
25 MICHIGAN ST NE STE 6100 SPECTRUM HEALTH MEDICAL GROUP NEUROVASCULAR/STROKE OFFI |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321614 | Hannah Kateri Johnson | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-09-18 |
| 1093321010 | Tamara Alissa Engblade | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-09-16 |
| 1417563339 | Samantha Marie Utter | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-09-16 |
| 1326672767 | Andrea Patrice Sewell | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-02-25 |
| 1518506278 | Paige Nichole Stoneburner | Physician Assistant | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2019-12-29 |
| 1457992331 | Amy Marie Heidel | Physician Assistant | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2019-10-02 |
| 1346718954 | Jordyn Marie Kippe | Physician Assistant | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2018-11-13 |
| 1376026641 | Margaret Anne Konwinski | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2018-09-12 |
| 1740776103 | Taleen Mergian | Physician Assistant | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2018-07-09 |
| 1427543487 | Leonard Herman Verhey | Neurological Surgery | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2018-06-22 |
| 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 | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356888044 | Jenny Peih-chir Tsai | Psychiatry & Neurology | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2017-01-19 |
| 1902035819 | Vivek Rai | Psychiatry & Neurology | 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 | 2009-07-13 |
| 1043452337 | Muhib Alam Khan | Psychiatry & Neurology | 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227116 | Neuro Team One Pllc | Psychiatry & Neurology | 31500 Telegraph Rd Ste 115, Bingham Farms, MI 48025-4302 | 2016-11-01 |
| 1265986806 | Xavier Md PC | Psychiatry & Neurology | 31500 Telegraph Rd Ste 115, Bingham Farms, MI 48025-4302 | 2016-08-11 |
| 1730507930 | Kavit Shah | Psychiatry & Neurology | 2799 W. Grand Blvd, Detroit, MI 48202 | 2014-04-03 |
| 1598023665 | George Matthew Dillon | Psychiatry & Neurology | 34025 Harper Ave, Clinton Township, MI 48035 | 2012-04-26 |
| 1164479911 | Surindar K Jolly | Psychiatry & Neurology | 4020 Venoy Rd, Ste#800, Wayne, MI 48184-1869 | 2006-05-27 |
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on RAJEEV DEVESHWAR.
| 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.