GORDON F VANOTTEREN (NPI# 1326041773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326041773 |
| Entity Type | Individual |
| Full Name | GORDON F VANOTTEREN |
| Credential | MD |
| Practice Address |
811 Rosalie Ave Nw Grand Rapids MI 49504-3718 |
| Practice Telephone | 6164531661 |
| Mailing Telephone | 6164531661 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301024612 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4359844 | 05 | |
| BLUE CROSS BLUE SHIELD | 1104189922 | 01 |
| Street Address |
811 ROSALIE AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| Find all providers in zip 49504 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| 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 | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
Please comment or provide details below to improve the information on GORDON F VANOTTEREN.
| 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.