G JAY ROTTMAN (NPI# 1376838698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376838698 |
| Entity Type | Individual |
| Full Name | G JAY ROTTMAN |
| Credential | M.D. |
| Practice Address |
847 Parchment Se Dmi Clinic Grand Rapids MI 49546 |
| Practice Telephone | 6169401466 |
| Practice Fax Number | 6169403006 |
| Mailing Telephone | 6169401466 |
| Mailing Fax Number | 6169403006 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301024324 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
847 PARCHMENT SE DMI CLINIC |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546 |
| 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 Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144533381 | Ryan Richard Konwinski | Radiology | 100 Michigan St Ne # Mc-046, Diagnostic Radiology Residency, Grand Rapids, MI 49503-2560 | 2010-07-16 |
| 1578753489 | Jason P Dykstra | Radiology | Advanced Radiology Services P.C., 3264 N Evergreen Dr, Grand Rapids, MI 49525-9746 | 2007-07-26 |
| 1417158619 | Robert Oostveen | Radiology | 3264 N Evergreen Dr, Advanced Radiology Services P.C., Grand Rapids, MI 49525-9746 | 2007-05-29 |
| 1780801688 | James Michael Hecksel | Radiology | 3264n Evergreen Nedr, Grand Rapids, MI 49525-9746 | 2007-04-20 |
| 1881618239 | Mark David Malnor | Radiology | 200 Jeffeson Se, Grand Rapids, MI 49503 | 2006-07-27 |
| 1396745576 | Paul Norman Olson | Radiology | 111 Golf Course Rd, Grand Rapids, MN 55744-3526 | 2005-07-28 |
| 1720081649 | Jay A Harolds | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2005-05-24 |
| 1306463872 | Patrick James Gidley | Radiology | 200 Jefferson Se, Jefferson Bldg Suite 305, Grand Rapids, MI 49503 | 2020-07-01 |
| 1619593530 | Albert Dongzhou Jiao | Radiology | 200 Jefferson Ave Se, Jefferson Suite 360, Grand Rapids, MI 49503 | 2020-06-17 |
| 1417517608 | Andrew Kilgore | Radiology | 200 Jefferson Ave Se Bldg Ste 305, Grand Rapids, MI 49503-4502 | 2019-06-19 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on G JAY ROTTMAN.
| 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.