JASON A. SQUIRES (NPI# 1164615688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164615688 |
| Entity Type | Individual |
| Full Name | JASON A. SQUIRES |
| Credential | DO |
| Practice Address |
1900 Wealthy St Se Ste. 290 Grand Rapids MI 49506-2969 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677293 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2012-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 247792 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
5101015566 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982640116 | Jason Squires | Physician Assistant | 698 Westside Dr Ste 110, Durant, OK 74701-3085 | 2006-06-22 |
| Street Address |
1900 WEALTHY ST SE STE. 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713669 | Kenneth J Easton | Orthopaedic Surgery | 1111 Leffingwell Ne, Ste 100, Grand Rapids, MI 49525 | 2005-10-10 |
| 1942298369 | Scott S Russo | Orthopaedic Surgery | 750 E Beltline Ave Ne, Suite 301, Grand Rapids, MI 49525-6049 | 2005-10-10 |
| 1235127648 | Joseph T Brown | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Suite 100, Grand Rapids, MI 49525 | 2005-10-10 |
| 1205823382 | James R Stubbart | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Suite 100, Grand Rapids, MI 49525 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144650391 | Accuspine Pllc | Orthopaedic Surgery | 612 Park St, Birmingham, MI 48009-3424 | 2013-11-24 |
| 1669809612 | Michigan Orthopaedic Spine Surgeons PC | Orthopaedic Surgery | 29624 Woodward Ave, Royal Oak, MI 48073-0905 | 2013-10-07 |
| 1376808105 | Lucent Spine, Pllc | Orthopaedic Surgery | 2300 Haggerty Rd Ste 2100, West Bloomfield, MI 48323-2191 | 2012-07-09 |
| 1033143052 | Jeffrey K. Wingate, M.d. | Orthopaedic Surgery | 13355 East Ten Mile Road, Medical Office Building East Ste. 115, Warren, MI 48089 | 2006-07-10 |
| 1689605925 | Philip Jeffery Mayer | Orthopaedic Surgery | 9389 N Haggerty Rd, Plymouth, MI 48170-4622 | 2006-07-05 |
| 1235117524 | Jeffrey K Wingate | Orthopaedic Surgery | 555 Barclay Cir Ste 140, Rochester Hills, MI 48307-4587 | 2006-01-06 |
| 1801870266 | Edgar Neil Pasia | Orthopaedic Surgery | 940 River Centre Dr., Port Huron, MI 48060 | 2005-11-30 |
| 1669465761 | John Ernest Lamacchia | Orthopaedic Surgery | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2005-08-24 |
| 1104458181 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-02-07 |
| 1124589460 | Smi Care of Mi, LLC | Orthopaedic Surgery | 755 W Big Beaver Rd Ste 2020, Troy, MI 48084-4925 | 2019-03-28 |
| 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.