BERNARD KENT MAUPIN


Address: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525-6406
Phone: 6164597101

BERNARD KENT MAUPIN (NPI# 1194783936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194783936
Entity Type Individual
Full Name BERNARD KENT MAUPIN
Credential M.D.
Practice Address 1111 Leffingwell Ave Ne
Suite 200
Grand Rapids
MI 49525-6406
Practice Telephone 6164597101
Practice Fax Number 6169549871
Mailing Telephone 6164597101
Mailing Fax Number 6169570444
Enumeration Date 2006-05-02
Last Update Date 2013-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
4301043303 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 3152810 05

Office Location

Street Address 1111 LEFFINGWELL AVE NE
SUITE 200
City GRAND RAPIDS
State MI
Zip Code 49525-6406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437151834 William G Brinkmeier Physician Assistant 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525-6406 2005-08-15
1316571334 Beth A Ronda Occupational Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2020-02-28
1811535172 Kaylyn Fales Specialist/Technologist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2019-12-18
1275170540 Marissa Marguerite Hansen Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2019-12-05
1285120568 Danielle M Beaudoin Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2018-07-10
1235630203 Michael D Newlin Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2018-02-26
1649787128 Corey John Koll Physician Assistant 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2018-01-05
1144735093 Bradley M Griffin Occupational Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2017-12-13
1811412315 Logan M Neil Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2017-08-07
1053848929 Hilary May Fredricks Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2017-05-22
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386651487 B Kent Maupin Md PC Orthopaedic Surgery 1001 Medical Park Dr Se, Suite 211, Grand Rapids, MI 49546-3610 2006-08-02
1811173412 Daniel Olsen Do Orthopaedic Surgery 2000 Burton St Se, Grand Rapids, MI 49506-4670 2008-01-14
1023235884 Viet Huu Do Orthopaedic Surgery 1111 Leffingwell Ne, Suite 200, Grand Rapids, MI 49525-6406 2007-04-20
1801830187 Donald P Condit Md Pllc Orthopaedic Surgery 1000 E Paris Ave Se, Suite 115, Grand Rapids, MI 49546-3680 2006-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861736027 Scott Sami Samona Orthopaedic Surgery 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 2012-11-12
1720216187 William R. Truluck II Do Pllc Orthopaedic Surgery 3945 Okemos Rd Ste B4, Okemos, MI 48864 2009-06-24
1215101290 Ruth Marie Baer Orthopaedic Surgery 965 Fee Rd, East Fee Hall, Room A233, East Lansing, MI 48824-6569 2008-04-21
1962617639 William Ray Truluck Orthopaedic Surgery 1841 Newman Rd, Suite, Okemos, MI 48864-1122 2007-05-14
1710102389 Uzma Rehman Do PC Orthopaedic Surgery 45650 Schoenherr Rd, Suite A, Shelby Township, MI 48315-6033 2007-04-17
1033140959 Frederick Victor Minkow Orthopaedic Surgery 43700 Woodward Avenue, Suite 205, Bloomfield Hills, MI 48302-0561 2006-07-06
1245261007 Stephen Edward Werner Orthopaedic Surgery 1349 S Rochester Rd Ste 225, Rochester Hills, MI 48307-3183 2006-07-06
1801839816 David L Gerstner Orthopaedic Surgery 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 2006-06-14
1730120361 John Michael Trupiano Orthopaedic Surgery 201 W Big Beaver Rd Ste 1140, Troy, MI 48084-4160 2006-06-08
1164408985 Steven Alan Kushner Orthopaedic Surgery 3272 E 12 Mile Rd Ste 106, Deerfield Meadows, Warren, MI 48092-5622 2005-12-22
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Competitor

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City GRAND RAPIDS
Zip Code 49525

Improve Information

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Dataset Information

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.

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