B KENT MAUPIN MD PC (NPI# 1386651487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386651487 |
Entity Type | Organization |
Organization Name | B KENT MAUPIN MD PC |
Practice Address |
1001 Medical Park Dr Se Suite 211 Grand Rapids MI 49546-3610 |
Practice Telephone | 6169540094 |
Practice Fax Number | 6169549871 |
Mailing Telephone | 6169540094 |
Mailing Fax Number | 6169549871 |
Enumeration Date | 2006-08-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BERNARD KENT MAUPIN (OWNER/PRESIDENT) |
Authorized Official Telephone | 6169540094 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
4301043303 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM | 2004100952 | 01 |
MI | INDIVIDUAL NPI | 1194783936 | 01 |
MI | 3152810 | 05 |
Street Address |
1001 MEDICAL PARK DR SE SUITE 211 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-3610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447521109 | Deborah Clare Margules | Obstetrics & Gynecology | 1001 Medical Park Dr Se, Suite 112, Grand Rapids, MI 49546-3610 | 2012-01-25 |
1184820821 | Pamela Sue Correll | Occupational Therapist | 1001 Medical Park Dr Se, Suite 111, Grand Rapids, MI 49546-3610 | 2007-06-21 |
1922184951 | Visiting Therapists Association of Kent, Inc. | Clinic/Center | 1001 Medical Park Dr Se, Suite 111, Grand Rapids, MI 49546-3610 | 2006-10-31 |
1760568042 | Diniwe Peter | Physical Therapist | 1001 Medical Park Dr Se, Suite 111, Grand Rapids, MI 49546-3610 | 2006-10-28 |
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 | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811173412 | Daniel Olsen Do | Orthopaedic Surgery | 2000 Burton St Se, Grand Rapids, MI 49506-4670 | 2008-01-14 |
1023235884 | Viet Huu Do | Orthopaedic Surgery | 1111 Leffingwell Ne, Suite 200, Grand Rapids, MI 49525-6406 | 2007-04-20 |
1801830187 | Donald P Condit Md Pllc | Orthopaedic Surgery | 1000 E Paris Ave Se, Suite 115, Grand Rapids, MI 49546-3680 | 2006-06-16 |
1194783936 | Bernard Kent Maupin | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525-6406 | 2006-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861736027 | Scott Sami Samona | Orthopaedic Surgery | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2012-11-12 |
1720216187 | William R. Truluck II Do Pllc | Orthopaedic Surgery | 3945 Okemos Rd Ste B4, Okemos, MI 48864 | 2009-06-24 |
1215101290 | Ruth Marie Baer | Orthopaedic Surgery | 965 Fee Rd, East Fee Hall, Room A233, East Lansing, MI 48824-6569 | 2008-04-21 |
1962617639 | William Ray Truluck | Orthopaedic Surgery | 1841 Newman Rd, Suite, Okemos, MI 48864-1122 | 2007-05-14 |
1710102389 | Uzma Rehman Do PC | Orthopaedic Surgery | 45650 Schoenherr Rd, Suite A, Shelby Township, MI 48315-6033 | 2007-04-17 |
1033140959 | Frederick Victor Minkow | Orthopaedic Surgery | 43700 Woodward Avenue, Suite 205, Bloomfield Hills, MI 48302-0561 | 2006-07-06 |
1245261007 | Stephen Edward Werner | Orthopaedic Surgery | 1349 S Rochester Rd Ste 225, Rochester Hills, MI 48307-3183 | 2006-07-06 |
1801839816 | David L Gerstner | Orthopaedic Surgery | 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 | 2006-06-14 |
1730120361 | John Michael Trupiano | Orthopaedic Surgery | 201 W Big Beaver Rd Ste 1140, Troy, MI 48084-4160 | 2006-06-08 |
1164408985 | Steven Alan Kushner | Orthopaedic Surgery | 3272 E 12 Mile Rd Ste 106, Deerfield Meadows, Warren, MI 48092-5622 | 2005-12-22 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49546 |
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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.