MICHIGAN MEDICAL PC (NPI# 1164680294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164680294 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MEDICAL PC |
| Practice Address |
3322 E Beltline Ct Ne Grand Rapids MI 49525-9480 |
| Mailing Address |
4085 Burton St Se Suite 200 Grand Rapids MI 49546-2444 |
| Practice Telephone | 6164569104 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | SCOTT HARRING (CFO) |
| Authorized Official Telephone | 6169744470 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 5101016694 | MI | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386664704 | Michigan Medical PC | Family Medicine | 3362 Lincoln Rd M40, Hamilton, MI 49419-0217 | 2006-07-20 |
| 1699929000 | Michigan Medical PC | Internal Medicine | 854 Washington Ave, Suite 410, West B Bldg., Holland, MI 49423-7144 | 2008-11-12 |
| 1407011935 | Michigan Medical PC | Psychiatry & Neurology | 750 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2008-07-24 |
| 1952565749 | Michigan Medical PC | Optometrist | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2008-07-11 |
| 1134395239 | Michigan Medical PC | Clinic/Center | 17691 174th Ave, Spring Lake, MI 49456-9750 | 2008-05-08 |
| 1700052230 | Michigan Medical PC | Surgery | 2093 Health Dr Sw, Grand Rapids, MI 49519-9691 | 2008-05-05 |
| 1598937716 | Michigan Medical PC | Pediatrics | 1003 N Lafayette St, Greenville, MI 48838-1168 | 2008-03-27 |
| Street Address |
3322 E BELTLINE CT NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881641694 | Timothy Thoits | Psychiatry & Neurology | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2006-05-27 |
| 1700492683 | Carly Elizabeth Thompson | Nurse Practitioner | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2020-09-16 |
| 1326519950 | Melissa Marie Outman | Nurse Practitioner | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2018-12-07 |
| 1962941518 | Christian Healthcare Centers, Inc. | Pediatrics | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2017-02-15 |
| 1285044271 | Ashleigh Collar Michaud | Physician Assistant | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2014-04-30 |
| 1710264379 | Maegan Rae Hatfield-eldred | Clinical Neuropsychologist | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2011-11-10 |
| 1760764732 | Lacie L Fedewa | Nurse Practitioner | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2011-09-15 |
| 1356640494 | Spectrum Health Primary Care Partners | Social Worker | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2011-03-15 |
| 1508175779 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2010-10-05 |
| 1720222748 | Martha R Thormeier | Social Worker | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 | 49525 |
Please comment or provide details below to improve the information on MICHIGAN MEDICAL 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.