DR. JAMES MICHAEL DECOU (NPI# 1326197625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326197625 |
| Entity Type | Individual |
| Full Name | DR. JAMES MICHAEL DECOU |
| Credential | MD |
| Practice Address |
330 Barclay Ave Ne Suite 202 Grand Rapids MI 49503-2556 |
| Practice Telephone | 6164581722 |
| Practice Fax Number | 6164580061 |
| Mailing Telephone | 6164581722 |
| Mailing Fax Number | 6164580061 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
4301076130 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4201571 | 05 |
| Street Address |
330 BARCLAY AVE NE SUITE 202 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011531 | Michelle Backus-walzer | Obstetrics & Gynecology | 330 Barclay Ave Ne, Suite 304, Grand Rapids, MI 49503-2556 | 2005-08-31 |
| 1215599352 | Ananya Mishra | Pediatrics | 330 Barclay Ave Ne, Grand Rapids, MI 49503-2556 | 2019-06-28 |
| 1629563747 | Khercie Smith | Pediatrics | 330 Barclay Ave Ne, Grand Rapids, MI 49503-2556 | 2018-06-30 |
| 1346745486 | Ronda Boss | Social Worker | 330 Barclay Ave Ne, Grand Rapids, MI 49503-2556 | 2018-03-29 |
| 1497205363 | Jenna Houghton | Registered Nurse | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-10-04 |
| 1992158851 | Cecilia Dietrich | Pediatrics | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-07-15 |
| 1053763862 | Mounir Djemil | Pediatrics | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-07-05 |
| 1003267790 | Christina Marie Hamilton | Obstetrics & Gynecology | 330 Barclay Ave Ne, Suite 304, Grand Rapids, MI 49503-2556 | 2016-06-24 |
| 1457701500 | Tamara Larue | Pediatrics | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-06-20 |
| 1639529787 | Kathryn Higdon | Pediatrics | 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503-2556 | 2016-06-20 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235365081 | Elliot Carr Pennington | Surgery | 330 Barclay Ave Ne Ste 202, Grand Rapids, MI 49503-2525 | 2009-06-08 |
| 1205197639 | Marcus P Haw | Surgery | 100 Michigan St Ne, 10th Floor, Mc 248, Grand Rapids, MI 49503-2560 | 2012-06-01 |
| 1114159415 | Daniel Joseph Watkins | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2009-08-20 |
| 1679622765 | Robert Robert Connors | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2007-01-09 |
| 1326197476 | Neal Duane Uitvlugt | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2007-01-09 |
| 1235288317 | Marc Godfrey Schlatter | Surgery | 330 Barclay Ave Ne, Suite202, Grand Rapids, MI 49503-2556 | 2007-01-09 |
| 1578501573 | Daniel John Robertson | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346444270 | Pavan Brahmamdam | Surgery | 3535 W 13 Mile Rd # 307, Medical Office Building, Royal Oak, MI 48073-6770 | 2007-06-13 |
| 1700908423 | Susan Hershberg Adelman | Surgery | 29820 Woodland Dr, Southfield, MI 48034-1339 | 2007-04-04 |
| 1891742128 | Ajith K Kadakol | Surgery | 1701 South Blvd E Ste B75, Rochester Hills, MI 48307-6122 | 2006-05-30 |
| 1336147461 | Joseph Lawrence Lelli | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2005-07-12 |
| 1912322009 | Lakeshore Surgical Consultants, Plc | Surgery | 5400 Fort St, Suite 200, Trenton, MI 48183-4632 | 2014-02-26 |
| 1346514254 | Masih Abdul Kader | Surgery | 3901 Beaubien St, Detroit, MI 48201-2119 | 2012-02-24 |
| 1730324096 | Lydia Joy Donoghue | Surgery | 3901 Beaubien St, Dept of Pediatric Surgery, Detroit, MI 48201-2119 | 2008-12-15 |
| 1194920041 | Justin D Klein | Surgery | 3901 Beaubien St, Carls Building 2nd Floor, Detroit, MI 48201-2119 | 2007-06-20 |
| 1366597544 | Covenant Medical Center, Inc. | Surgery | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-01-25 |
| 1780780478 | Juda Z Jona | Surgery | 1200 E Michigan Ave, Suite 460, Lansing, MI 48912-1800 | 2006-09-16 |
| 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.