GRAND RAPIDS CARDIOLOGY (NPI# 1154699593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154699593 |
Entity Type | Organization |
Organization Name | GRAND RAPIDS CARDIOLOGY |
Other Organization Name | RONALD L. VANDERLAAN, MD., PLCC |
Practice Address |
1900 Wealthy St Se Grand Rapids MI 49506-2969 |
Practice Telephone | 6167175141 |
Practice Fax Number | 6167175145 |
Mailing Telephone | 6167175141 |
Mailing Fax Number | 6167175145 |
Enumeration Date | 2011-12-13 |
Last Update Date | 2011-12-13 |
Authorized Official Name | RONALD L. VANDERLAAN (CARDIOLOGIST) |
Authorized Official Telephone | 6167175141 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Ronald L. Vanderlaan, MD., PLCC | Doing Business As Name - Organization |
Street Address |
1900 WEALTHY ST SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49506-2969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902890437 | David D Hamm | Internal Medicine | 1900 Wealthy St Se, Ste 220, Grand Rapids, MI 49506-2969 | 2005-09-12 |
1376085191 | Douglas Rau | Registered Nurse | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2016-11-10 |
1568910602 | Jeffrey David Ryan-stout | Physician Assistant | 1900 Wealthy St Se, 290, Grand Rapids, MI 49506-2969 | 2016-09-19 |
1437494317 | Sylvia Anne Malcore | Psychologist | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2012-12-04 |
1730443466 | Christa Anne Rector | Physical Medicine & Rehabilitation | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2012-06-27 |
1720354723 | Patrick Ryan Mullan | Physical Medicine & Rehabilitation | 1900 Wealthy St Se, Ste 290, Grand Rapids, MI 49506-2969 | 2012-03-24 |
1861787475 | Ryan Keith Conway | Surgery | 1900 Wealthy St Se, Suite 180, Grand Rapids, MI 49506-2969 | 2011-06-10 |
1861701047 | Spectrum Health Primary Care Partners | Internal Medicine | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 | 2010-10-05 |
1730409178 | Gabriel Enrique Gallardo | Surgery | 1900 Wealthy St Se, Suite 180, Grand Rapids, MI 49506-2969 | 2010-06-08 |
1376875120 | Lynnette A Mundwiler | Pharmacist | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 | 2010-02-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
Find all providers in zip 49506 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1568632669 | Allergy & Asthma Centers of West Michigan, P.C. | Clinic/Center | 5055 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1075 | 2008-03-04 |
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1447715131 | Ryan Klanseck, Do | Clinic/Center | 16986 Robbins Rd Ste 140, Grand Haven, MI 49417-2795 | 2019-02-06 |
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1902356140 | Midmichigan Pain | Clinic/Center | 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 | 2016-10-12 |
1184085516 | Hester S Pernell Md Pllc | Clinic/Center | 24628 Ridgeview Dr, Farmington Hills, MI 48336-1905 | 2016-03-12 |
1538569439 | Maple Healthcare Medical Center P.C. | Clinic/Center | 2442 E Maple Ave Ste 400, Flint, MI 48507-4462 | 2014-08-27 |
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Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49506 |
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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.