BONE AND JOINT CARE OF WEST MICHIGAN PLC (NPI# 1164443149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164443149 |
| Entity Type | Organization |
| Organization Name | BONE AND JOINT CARE OF WEST MICHIGAN PLC |
| Practice Address |
1900 Wealthy St Se Suite 290 Grand Rapids MI 49506-2969 |
| Mailing Address |
Po Box 3140 Grand Rapids MI 49501-3140 |
| Practice Telephone | 6167740440 |
| Practice Fax Number | 6167740818 |
| Mailing Telephone | 6167740440 |
| Mailing Fax Number | 6167740818 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-08-10 |
| Authorized Official Name | SUSAN MICHELLE DAY (PARTNER) |
| Authorized Official Telephone | 6167740440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CK5012 | 01 |
| Street Address |
1900 WEALTHY ST SE SUITE 290 |
| 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 |
| 1154699593 | Grand Rapids Cardiology | Clinic/Center | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 | 2011-12-13 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053773507 | Charles Trevor Crellin | Orthopaedic Surgery | 221 Michigan St Ne Fl 4, Grand Rapids, MI 49503-2543 | 2016-03-23 |
| 1366799124 | Marci Anne Bartholomew | Orthopaedic Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2012-08-11 |
| 1568723484 | Gable Bert Moffitt | Orthopaedic Surgery | 221 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2543 | 2012-06-07 |
| 1114287893 | Larry W Fitzsimmons | Orthopaedic Surgery | 7660 Pine Park Dr Se, Grand Rapids, MI 49546-9130 | 2012-05-29 |
| 1073809935 | Katherine J Sage | Orthopaedic Surgery | 1195 Wilson Ave Nw Ste 200, Grand Rapids, MI 49534-6405 | 2011-06-20 |
| 1831418151 | Rohan Ashok Habbu | Orthopaedic Surgery | 1422 Dewberry Pl Ne, Apt 16, Grand Rapids, MI 49505-6918 | 2010-05-26 |
| 1750543674 | Mary A Herzog | Orthopaedic Surgery | 300 Lafayette Ave Se # 3400, Grand Rapids, MI 49503-4600 | 2008-07-01 |
| 1184883605 | Melissa Marie Peters | Orthopaedic Surgery | 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503-2565 | 2008-06-09 |
| 1871782136 | Casey R Bartman Md PC | Orthopaedic Surgery | 751 Kenmoor Ave, Grand Rapids, MI 49546 | 2007-10-23 |
| 1871629857 | Thomas G Schwaderer | Orthopaedic Surgery | 2558 Alger Se, Grand Rapids, MI 49546-5602 | 2007-02-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on BONE AND JOINT CARE OF WEST MICHIGAN PLC.
| 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.