HEATHER MARIE KLINGEMAN (NPI# 1295174076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295174076 |
| Entity Type | Individual |
| Full Name | HEATHER MARIE KLINGEMAN |
| Other Name | HEATHER MARIE SIRKO |
| Credential | MD |
| Practice Address |
221 Michigan St Ne Ste 200 Grand Rapids MI 49503 |
| Mailing Address |
100 Michigan St Ne # Mc-845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162678950 |
| Practice Fax Number | 6162678585 |
| Mailing Telephone | 6162678950 |
| Mailing Fax Number | 6162678585 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 58087 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301109320 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1295174076 | 05 |
| Street Address |
221 MICHIGAN ST NE STE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912948233 | Edward Kryshak | Internal Medicine | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2006-06-09 |
| 1346850153 | Layla Lynn Noordhof | Dietitian, Registered | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2020-08-06 |
| 1679113344 | Ashley Nicole Widdis | Dietitian, Registered | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2020-01-10 |
| 1588212500 | Morgan Elizabeth Behm | Physician Assistant | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2019-09-03 |
| 1144783457 | Lacey Crumback | Dietitian, Registered | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2019-04-12 |
| 1891255188 | Debra Christine Brunette | Dietitian, Registered | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2019-03-22 |
| 1841759883 | Gregory Stacey | Dietitian, Registered | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2019-03-19 |
| 1740793041 | Katie Elizabeth Dalton | Nurse Practitioner | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2017-11-08 |
| 1104336726 | Lindsey Keuning | Nurse Practitioner | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2017-10-10 |
| 1770027344 | Cody Keith Hoff | Physician Assistant | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2016-12-15 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912948233 | Edward Kryshak | Internal Medicine | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2006-06-09 |
| 1356781256 | Mazen Al Mushref | Internal Medicine | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503 | 2013-06-25 |
| 1265665988 | Ashley Noelle Therasse | Internal Medicine | 300 Lafayette Ave Se, Suite 2045, Grand Rapids, MI 49503-4692 | 2009-08-27 |
| 1053567743 | Karl Nadolsky Jr. | Internal Medicine | 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533 | 2008-08-13 |
| 1811151426 | Mohammad Kawji | Internal Medicine | 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503-2543 | 2008-07-12 |
| 1275748121 | Courtney Ann Soubliere | Internal Medicine | 300 Lafayette Se, Ste 2045, Grand Rapids, MI 49503 | 2007-05-14 |
| 1659583888 | Cyprian A Gardine IIi | Internal Medicine | 300 Lafayette Ave Se, Ste 2045, Grand Rapids, MI 49503-4692 | 2007-05-03 |
| 1134150147 | Ruggero Battan | Internal Medicine | 300 Lafayette Ave Se, Ste 2045, Grand Rapids, MI 49503-4650 | 2006-07-06 |
| 1427098532 | Gregory J Deines | Internal Medicine | 221 Michigan St Ne, Ste 200, Grand Rapids, MI 49503-2543 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866172 | Grace Endocrine Services Pllc | Internal Medicine | 38864 Hilldale St, Clinton Township, MI 48036-2561 | 2018-10-13 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1003184748 | Khachorndej Vibhasiri | Internal Medicine | 732 Brookwood Walke, Bloomfield Hills, MI 48304-1900 | 2011-12-08 |
| 1427345065 | Ali Alexandru Achira | Internal Medicine | 4700 Greenfield Rd Ste 2c, Dearborn, MI 48126-4124 | 2011-07-04 |
| 1689979569 | Alzohaili Medical Consultants Md PC | Internal Medicine | 5250 Auto Club Dr Ste 200, Dearborn, MI 48126-2619 | 2011-01-24 |
| 1528377082 | Randall Whitcomb | Internal Medicine | 1527 High Hollow Dr, Ann Arbor, MI 48103-9621 | 2010-10-01 |
| 1639400799 | Kp Anandakrishnan Md PC | Internal Medicine | 5189 Venoy Rd, Wayne, MI 48184-2545 | 2010-01-28 |
| 1194962530 | Richard Michael Mortensen | Internal Medicine | 1301 Catherine St, 7641 Medical Sciences II, Ann Arbor, MI 48109-2026 | 2009-01-07 |
| 1235319872 | Endocrine Hospital Consultants, P.C. | Internal Medicine | 4782 Trailview, West Bloomfield, MI 48322-4572 | 2007-11-12 |
| 1174719025 | Center for Preventive Medicine PC | Internal Medicine | 20870 Mack Ave, Grosse Pointe Woods, MI 48236-1388 | 2007-09-24 |
| Find all providers with the same taxonomy | ||||
| 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.