MELONIE SUE ICE


Address: 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546
Phone: 6164593158

MELONIE SUE ICE (NPI# 1316054414) 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) 1316054414
Entity Type Individual
Full Name MELONIE SUE ICE
Credential M.D.
Practice Address 1000 East Paris Ave Se Ste 100
Grand Rapids
MI 49546
Mailing Address 1000 East Paris Ave Se Ste 100
Grand Rapids
MI 49546-3680
Practice Telephone 6164593158
Practice Fax Number 6169880071
Mailing Telephone 6164593158
Mailing Fax Number 6169880071
Enumeration Date 2006-08-24
Last Update Date 2018-11-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301406808 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS OF MICHIGAN 1104128442 01
MI 1989421 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1900 Wealthy St Se, Ste 150, Grand Rapids, MI 495062969 6164593158 6169880071

Office Location

Street Address 1000 EAST PARIS AVE SE STE 100
City GRAND RAPIDS
State MI
Zip Code 49546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841294477 Stephen Macedo Internal Medicine 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546-3680 2005-06-10
1992112999 Marguerite Stadt Sellers Nurse Practitioner 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 2014-07-22
1497169635 Jared Langerak Family Medicine 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546-3680 2014-06-16
1538306659 Daniel William Bergner Internal Medicine 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 2009-01-12
1275640229 David M Mcgrath Internal Medicine 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 2006-08-24
1467569475 Bruce A Langerak Internal Medicine 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 2006-08-24
1962519041 Gary Norman Humphries Internal Medicine 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 2006-08-24
1013024983 Joyce M Jensen Nurse Practitioner 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 2006-08-24
1033226402 Grand Valley Medical Specialists Plc Family Medicine 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546-3680 2006-08-23
1760481386 Renee K Salyer Physician Assistant 1000 East Paris Ave Se Ste 100, Grand Rapids, MI 49546 2005-07-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
Find all providers in zip 49546

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972098242 Iman Qaiser Internal Medicine 200 Jefferson Ave Se Bldg Ste 305, Grand Rapids, MI 49503-4502 2018-06-28
1477048437 Angelea Young Heider Internal Medicine 25 Michigan St Ne Ste 210, Grand Rapids, MI 49503-2515 2018-06-22
1386165942 Sheda Monfared Beheshti Internal Medicine 300 Lafayette Ave Se Ste 3000, Grand Rapids, MI 49503-4692 2017-07-03
1831571389 David Bryska Internal Medicine 300 Lafayette Ave Se # 3000, Grand Rapids, MI 49503-4692 2015-06-22
1104238484 Andrea Landon Internal Medicine 2144 E Paris Ave Se # 200, Grand Rapids, MI 49546-6111 2014-05-21
1669813259 Ruchira Sengupta Internal Medicine 100 Michigan St Ne # Mc031, Grand Rapids, MI 49503-2560 2013-07-10
1740595735 Anas Ahmad Internal Medicine 1959 East Paris Ave S.e., Grand Rapids, MI 49546 2010-08-13
1871805895 Spectrum Health Primary Care Partners Internal Medicine 4444 Kalamazoo Ave Sw, Suite 200, Grand Rapids, MI 49508 2010-07-07
1538489828 Randall W. Green Md PC Internal Medicine 4070 Lake Dr Se Ste 201, Grand Rapids, MI 49546-8294 2010-06-09
1114120771 David Chi Ming Shen Internal Medicine 310 Lafayette Se, Ste 415, Grand Rapids, MI 49503 2007-06-08
Find all providers in GRAND RAPIDS

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49546

Improve Information

Please comment or provide details below to improve the information on MELONIE SUE ICE.

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.

Trending Searches