DR. JAMES E HOOGEBOOM (NPI# 1164594420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164594420 |
| Entity Type | Individual |
| Full Name | DR. JAMES E HOOGEBOOM |
| Credential | DO |
| Practice Address |
6290 Burton St Se Grand Rapids MI 49546-6775 |
| Practice Telephone | 6169757768 |
| Practice Fax Number | 6169757769 |
| Mailing Telephone | 6169757768 |
| Mailing Fax Number | 6169757769 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
CL0065 | NV | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
5101008395 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3346752 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1155 Mill St, Reno, NV 895021576 | 7759827878 | 7759824196 |
| Street Address |
6290 BURTON ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-6775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467748210 | John Dillon Galbraith | Surgery | 100 Michigan St Ne Ste A501, Grand Rapids, MI 49503 | 2011-06-21 |
| 1528477387 | Kailyn Sum York Lain Kwong Hing | Surgery | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2538 | 2014-08-06 |
| 1740596402 | Charles Jerard Gibson | Surgery | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2010-08-19 |
| 1992017925 | Spectrum Health Primary Care Partners | Surgery | 100 Michigan St Ne, Mhc4850, Grand Rapids, MI 49503-2560 | 2010-07-07 |
| 1225266331 | Alistair Jon Chapman | Surgery | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2009-06-26 |
| 1003945908 | Cathryn Lynn Chadwick | Surgery | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2007-03-05 |
| 1013018845 | Gaby A P Iskander | Surgery | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215127501 | Vinod K Puri | Surgery | 16001 W. Nine Mile Rd, Providence Hospital, Southfield, MI 48075 | 2007-08-01 |
| 1215090840 | Michael S. Malian | Surgery | 18101 Oakwood Boulevard, Beaumont Hospital, Dearborn Trauma Svcs, Dearborn, MI 48123 | 2006-12-18 |
| 1699870865 | St. Marys of Michigan Specialists | Surgery | 4690 Mcleod Dr E, Ste B, Saginaw, MI 48604-2836 | 2006-09-13 |
| 1659371326 | Marc L. Cullen | Surgery | Childrens Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201 | 2005-07-26 |
| 1518522093 | Jamal D Farhan, M.d., P.C. | Surgery | 1020 Charter Dr Ste A, Flint, MI 48532-3584 | 2019-05-09 |
| 1306386586 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N East Ave, Jackson, MI 49201-1753 | 2017-03-07 |
| 1154863033 | United Critical Care Plc | Surgery | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2016-11-09 |
| 1578941969 | John R Montgomery | Surgery | 1500 E Medical Center Dr, 2110 Tc, Spc 5346, Ann Arbor, MI 48109-5000 | 2015-05-18 |
| 1609167063 | Jeffrey C Walker | Surgery | 5301 Mcauley Drive, Trauma & Surgical Critical Care, Ypsilanti, MI 48197-5033 | 2011-04-20 |
| 1346486081 | St Marys of Michigan Specialists | Surgery | 4690 Mcleod Dr E, Saginaw, MI 48604-2836 | 2008-12-31 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. JAMES E HOOGEBOOM.
| 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.