RONALD VANDERLAAN (NPI# 1447299599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447299599 |
| Entity Type | Individual |
| Full Name | RONALD VANDERLAAN |
| Credential | MD |
| Practice Address |
1310 E Beltline Ave Se Ste 130 Grand Rapids MI 49506-4303 |
| Practice Telephone | 6167175141 |
| Practice Fax Number | 6167175145 |
| Mailing Telephone | 6167175141 |
| Mailing Fax Number | 6167175145 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301046234 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CIGNA | 2939555 | 01 |
| MI | RAILROAD MEDICARE | MEMBER PTAN P0061774 | 01 |
| MI | TRICARE | 1447299599 | 01 |
| MI | 1447299599 | 05 |
| Street Address |
1310 E BELTLINE AVE SE STE 130 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275011264 | Meredith Elaine Mockabee | Social Worker | 1310 E Beltline Ave Se, Grand Rapids, MI 49506 | 2018-08-01 |
| 1306362165 | Stephenie Lopez | Speech-Language Pathologist | 1310 E Beltline Ave Se, Grand Rapids, MI 49506-4300 | 2017-08-14 |
| 1265985196 | Dana Tigelaar | Speech-Language Pathologist | 1310 E Beltline Ave Se, Suite 230, Grand Rapids, MI 49506-4300 | 2016-07-27 |
| 1841669389 | Tracy Young | Occupational Therapist | 1310 E Beltline Ave Se, Suite 230, Grand Rapids, MI 49506-4304 | 2015-09-15 |
| 1962871400 | Holly Grieves | Occupational Therapist | 1310 E Beltline Ave Se, Suite 230, Grand Rapids, MI 49506-4304 | 2015-09-15 |
| 1548638885 | Christie Hinshon Mcpharlin | Speech-Language Pathologist | 1310 E Beltline Ave Se, Suite 230, Grand Rapids, MI 49506-4304 | 2015-09-03 |
| 1205202082 | Steven Vanderkamp | Physical Therapist | 1310 E Beltline Ave Se, Suite 230, Grand Rapids, MI 49506-4304 | 2015-08-17 |
| 1073834669 | Emily J Helder | Psychologist | 1310 E Beltline Ave Se, Grand Rapids, MI 49506-4300 | 2010-06-17 |
| 1598976672 | Nancy Sue Hock | Occupational Therapist | 1310 E Beltline Ave Se, Suite 230, Grand Rapids, MI 49506-4300 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1073836250 | Raymond Everett Fuller | Internal Medicine | 15 Andre St Se, Grand Rapids, MI 49507-3010 | 2010-03-02 |
| 1942289798 | Michael G Dickinson | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525 | 2006-01-11 |
| 1952382137 | David Bryan Johnson | Internal Medicine | 638 Fulton St W, Suite B, Grand Rapids, MI 49504-6313 | 2005-11-07 |
| 1265423651 | Prerana Anand Manohar | Internal Medicine | 5043 Cascade Rd Se, Grand Rapids, MI 49546-3724 | 2005-11-03 |
| 1669984480 | Advanced Cardiac & Vascular Centers for Amputation Prevention Plc | Internal Medicine | 1525 E Beltline Ave Ne, Grand Rapids, MI 49525-4598 | 2017-11-02 |
| 1114389251 | Christopher Madison | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2016-03-28 |
| 1366804940 | Malav Parikh | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2016-03-23 |
| 1265849541 | Jose Mariano Tiu Tan II | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2014-07-17 |
| 1871919290 | Spectrum Health Primary Care Partners | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2014-03-10 |
| 1639591993 | Stefan Jovinge | Internal Medicine | 100 Michigan St Ne, Mc 231, Grand Rapids, MI 49503-2560 | 2014-01-06 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on RONALD VANDERLAAN.
| 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.