JAY PATRICK LABINE (NPI# 1275514721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275514721 |
| Entity Type | Individual |
| Full Name | JAY PATRICK LABINE |
| Credential | M.D. |
| Practice Address |
245 Cherry St Se Suite 102 Grand Rapids MI 49503-4607 |
| Mailing Address |
245 Cherry St Se Ste 102 Grand Rapids MI 49503-4607 |
| Practice Telephone | 6164565311 |
| Practice Fax Number | 6164567955 |
| Mailing Telephone | 6164565311 |
| Mailing Fax Number | 6164567955 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2009-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301058128 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0D16117 | 01 |
| MI | 3352544 | 05 |
| Street Address |
245 CHERRY ST SE SUITE 102 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768820 | Stacyann Steen | Family Medicine | 245 Cherry St Se, Ste 100, Grand Rapids, MI 49503 | 2005-08-23 |
| 1831691138 | Douglas Craig Sjoerdsma Jr. | Physical Therapist | 245 Cherry St Se, Grand Rapids, MI 49503-4607 | 2018-03-02 |
| 1821537143 | Malorie Venlet | Social Worker | 245 Cherry St Se, Suite 200, Grand Rapids, MI 49503-4607 | 2017-02-20 |
| 1902275506 | Margaret Vandewater | Nurse Practitioner | 245 Cherry St Se, Suite 100, Grand Rapids, MI 49503-4607 | 2015-09-24 |
| 1356764674 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2014-01-22 |
| 1649601295 | Shanna Henderson | Physician Assistant | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2013-12-09 |
| 1417208463 | Stephanie Dora Smith | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-09-29 |
| 1427303452 | Mary Jo Richard | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-07-16 |
| 1134483340 | Crystal Ann Zilo | Obstetrics & Gynecology | 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 | 2012-07-02 |
| 1982991683 | Aileen Elizabeth M Ampil Antonio | Ophthalmology | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2011-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1467938084 | Jenna Corinne Coon Fussell | Surgery | 221 Michign St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-07-17 |
| 1821518135 | Amanda Marsh | Surgery | 221 Michigan Suite 200-a, Grand Rapids, MI 49503 | 2017-06-27 |
| 1346760923 | Kristin Wempe | Surgery | 221 Michigan St Ne # 200-a, Grand Rapids, MI 49503-2543 | 2017-06-23 |
| 1508386186 | Justin Hsu | Surgery | 221 Michigan St Ne Ste 200-a, Grand Rapids, MI 49503-2543 | 2017-06-23 |
| 1184006124 | Joshua Ryan Smith | Surgery | 1900 Wealthy St Se Ste 180, Grand Rapids, MI 49506-2972 | 2015-06-26 |
| 1093061905 | James Regan | Surgery | 945 Ottawa Ave Nw, Grand Rapids, MI 49503-1431 | 2012-07-29 |
| 1346503455 | Matthew Brent Dull | Surgery | 221 Michigan St Ne Ste 200a, Grand Rapids, MI 49503-2543 | 2012-06-22 |
| 1376870550 | Jerome J Wisneski | Surgery | 2338 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5969 | 2009-11-10 |
| 1104151695 | Richard Earl Dean | Surgery | 3735 Cook Valley Blvd Se, Grand Rapids, MI 49546 | 2009-10-16 |
| 1083877120 | Patricia Anne Pentiak | Surgery | 221 Michign St Ne Ste 400, Grand Rapids, MI 49503-2538 | 2008-07-09 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.