JEROME J WISNESKI (NPI# 1376870550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376870550 |
| Entity Type | Individual |
| Full Name | JEROME J WISNESKI |
| Credential | MD |
| Practice Address |
2338 Lake Michigan Dr Nw Grand Rapids MI 49504-5969 |
| Practice Telephone | 6164537898 |
| Mailing Telephone | 6164537898 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301027855 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2338 LAKE MICHIGAN DR NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504-5969 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938084 | Jenna Corinne Coon Fussell | Surgery | 221 Michign St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-07-17 |
| 1821518135 | Amanda Marsh | Surgery | 221 Michigan Suite 200-a, Grand Rapids, MI 49503 | 2017-06-27 |
| 1346760923 | Kristin Wempe | Surgery | 221 Michigan St Ne # 200-a, Grand Rapids, MI 49503-2543 | 2017-06-23 |
| 1508386186 | Justin Hsu | Surgery | 221 Michigan St Ne Ste 200-a, Grand Rapids, MI 49503-2543 | 2017-06-23 |
| 1184006124 | Joshua Ryan Smith | Surgery | 1900 Wealthy St Se Ste 180, Grand Rapids, MI 49506-2972 | 2015-06-26 |
| 1093061905 | James Regan | Surgery | 945 Ottawa Ave Nw, Grand Rapids, MI 49503-1431 | 2012-07-29 |
| 1346503455 | Matthew Brent Dull | Surgery | 221 Michigan St Ne Ste 200a, Grand Rapids, MI 49503-2543 | 2012-06-22 |
| 1104151695 | Richard Earl Dean | Surgery | 3735 Cook Valley Blvd Se, Grand Rapids, MI 49546 | 2009-10-16 |
| 1083877120 | Patricia Anne Pentiak | Surgery | 221 Michign St Ne Ste 400, Grand Rapids, MI 49503-2538 | 2008-07-09 |
| 1245440130 | Jaime Lynn Bedford | Surgery | 220 Jefferson Se, 5th Floor Icu, Grand Rapids, MI 49503 | 2007-05-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
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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.