PRIVAMD INC (NPI# 1164991436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164991436 |
| Entity Type | Organization |
| Organization Name | PRIVAMD INC |
| Practice Address |
16986 Robbins Rd Grand Haven MI 49417-2795 |
| Practice Telephone | 2312158086 |
| Mailing Telephone | 2312158086 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | HEIDI NAPARELA (CEO/OWNER) |
| Authorized Official Telephone | 2312158086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Privamd | Doing Business As Name - Organization |
| Street Address |
16986 ROBBINS RD |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336369701 | Tabatha Jean Barber | Obstetrics & Gynecology | 16986 Robbins Rd, Ste 180, Grand Haven, MI 49417-2795 | 2007-04-26 |
| 1336540046 | Spectrum Health Primary Care Partner | Internal Medicine | 16986 Robbins Rd, Grand Haven, MI 49417-2795 | 2014-09-12 |
| 1518242734 | Edson Medical Clinic, LLC | Anesthesiology | 16986 Robbins Rd, Suite 180, Grand Haven, MI 49417-2795 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
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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.