ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC (NPI# 1154761773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154761773 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC |
| Other Organization Name | ORTHOPAEDIC ASSOCIATES OF MICHIGAN, PC |
| Practice Address |
555 Midtowne St Ne Suite 105 Grand Rapids MI 49503-5729 |
| Mailing Address |
1111 Leffingwell Ave Ne Grand Rapids MI 49525-6406 |
| Practice Telephone | 6164597101 |
| Mailing Telephone | 6164597101 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | JOEL M YOUNG (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 6164597101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PTAN | OD14869 | 01 |
| Other Name | Type Code |
|---|---|
| Orthopaedic Associates of Michigan, PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366884942 | Orthopaedic Associates of Grand Rapids, PC | Plastic Surgery | 2373 64th St Sw Ste 2500, Byron Center, MI 49315 | 2013-07-23 |
| 1679839146 | Orthopaedic Associates of Grand Rapids, PC | Prosthetic/Orthotic Supplier | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2012-04-09 |
| 1023021300 | Orthopaedic Associates of Grand Rapids, PC | Pain Medicine | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2006-08-15 |
| Street Address |
555 MIDTOWNE ST NE SUITE 105 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133992 | Michelle A Klyn | Obstetrics & Gynecology | 555 Midtowne St Ne, Ste 450, Grand Rapids, MI 49503 | 2005-06-10 |
| 1245572007 | Pennant Physician Services | Pediatrics | 555 Midtowne St Ne, Suite 310, Grand Rapids, MI 49503-5729 | 2013-03-20 |
| 1467798231 | Roxanne Kay Cornelius | Physician Assistant | 555 Midtowne St Ne, Suite 110, Grand Rapids, MI 49503-5729 | 2012-12-21 |
| 1780933432 | Dermatology At Midtowne, PC | Dermatology | 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503-5729 | 2012-09-09 |
| 1912265521 | Amy Marie Strikwerda | Dermatology | 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503-5729 | 2012-05-02 |
| 1720390511 | Heather Jereb | Obstetrics & Gynecology | 555 Midtowne St Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2010-07-08 |
| 1235441262 | Spectrum Health Primary Care Partners | Obstetrics & Gynecology | 555 Midtowne St Ne, Suite 302, Grand Rapids, MI 49503-5729 | 2010-07-07 |
| 1013234707 | Bradley Bengtson, M.d. PC | Plastic Surgery | 555 Midtowne St Ne, Suite 110, Grand Rapids, MI 49503-5729 | 2010-04-21 |
| 1700102993 | Midtowne Pharmacy | Pharmacy | 555 Midtowne St Ne, Suite 103, Grand Rapids, MI 49503-5729 | 2010-04-13 |
| 1952539603 | Kory James Johnson | Orthopaedic Surgery | 555 Midtowne St Ne, Suite 105, Grand Rapids, MI 49503-5729 | 2009-07-01 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689232134 | Supersomnia LLC | Durable Medical Equipment & Medical Supplies | 6886 Cascade Rd Se Ste D, Grand Rapids, MI 49546-6879 | 2019-05-30 |
| 1649723263 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 555 Michigan St Ne Ste 100, Grand Rapids, MI 49503-5753 | 2016-08-01 |
| 1285050435 | Grace Audrey Miller | Durable Medical Equipment & Medical Supplies | 2824 Thornapple River Dr Se, Grand Rapids, MI 49546-6844 | 2014-03-12 |
| 1962830794 | Jerry Burgess Mulder | Durable Medical Equipment & Medical Supplies | 426 Michigan St Ne Ste 207, Grand Rapids, MI 49503-5608 | 2013-10-14 |
| 1447504337 | Integrated Sales and Marketing | Durable Medical Equipment & Medical Supplies | 3721 Pine Park Ct Se, Grand Rapids, MI 49546-9129 | 2012-10-31 |
| 1265705198 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 230 Michigan St Ne Ste 200, Grand Rapids, MI 49503 | 2012-02-23 |
| 1912205030 | Begin Healing, Inc | Durable Medical Equipment & Medical Supplies | 2300 Sw 11th St, Grand Rapids, MN 55744-9777 | 2011-03-14 |
| 1861796112 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3590 Plainfield Ave Ne, Grand Rapids, MI 49525-2719 | 2010-12-30 |
| 1811207350 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4085 Burton Se, Suite 102, Grand Rapids, MI 49546 | 2010-10-18 |
| 1184940074 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 5005 Cascade Rd Se Ste C, Grand Rapids, MI 49546-8411 | 2010-04-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC.
| 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.