MACFIELD PEDIATRICS AND FAMILY MEDICINE PC (NPI# 1447684857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447684857 |
| Entity Type | Organization |
| Organization Name | MACFIELD PEDIATRICS AND FAMILY MEDICINE PC |
| Other Organization Name | BRETON VILLAGE PEDIATRICS AND FAMILY MEDICINE PC |
| Practice Address |
2460 Burton St Se Grand Rapids MI 49546-4800 |
| Mailing Address |
4770 Blackberry Ct Ne 4770 Blackberry Ct Ne Grand Rapids MI 49525-9495 |
| Practice Telephone | 6162955760 |
| Mailing Telephone | 6167244972 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | DR. MASUMA F MACFIELD (PEDIATRICIAN) |
| Authorized Official Telephone | 6167244972 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 8305045032 | MI | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 4301084408 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Breton Village Pediatrics And Family Medicine PC | Doing Business As Name - Organization |
| Street Address |
2460 BURTON ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407833049 | Croswell Podiatry Pllc | Podiatrist | 2460 Burton St Se, Suite 200, Grand Rapids, MI 49546-4800 | 2005-12-24 |
| 1659904340 | Imani Grant Jenkins | Behavioral Analyst | 2460 Burton St Se, Grand Rapids, MI 49546-4801 | 2020-02-20 |
| 1164060885 | Alexander M Wolfe | Behavior Technician | 2460 Burton St Se, Grand Rapids, MI 49546-4801 | 2019-12-12 |
| 1760033393 | Joya A Schmitt | Behavior Technician | 2460 Burton St Se, Grand Rapids, MI 49546-4801 | 2019-09-25 |
| 1801453733 | Emily T Gaugier | Behavior Technician | 2460 Burton St Se, Grand Rapids, MI 49546-4801 | 2019-05-27 |
| 1164913935 | Ross Kelsey | Behavioral Analyst | 2460 Burton St Se, Grand Rapids, MI 49546-4801 | 2018-05-28 |
| 1861994071 | Jason Tran | Behavior Technician | 2460 Burton St Se, Grand Rapids, MI 49546-4801 | 2018-03-03 |
| 1407357049 | Tristan Jong Di Cesare | Behavior Technician | 2460 Burton St Se, Grand Rapids, MI 49546-4801 | 2018-02-27 |
| 1336675545 | Linda Mohney | Occupational Therapist | 2460 Burton St Se, Suite 100, Grand Rapids, MI 49546-4801 | 2017-05-08 |
| 1851834386 | Kimberly Ann Trumbull-boddy | Occupational Therapist | 2460 Burton St Se, Suite 100, Grand Rapids, MI 49546-4801 | 2016-12-01 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912427402 | Stephen Gunnink | Pediatrics | 100 Michigan St. Se, Grand Rapids, MI 49503-2527 | 2017-06-26 |
| 1003336595 | Cory Minier Schmidt | Pediatrics | 330 Barclay Ave Ne Ste 330, Grand Rapids, MI 49503-2556 | 2017-06-26 |
| 1093165144 | David Jacob Hoogstra | Pediatrics | 100 Michigan St Ne # Mc085, Grand Rapids, MI 49503-2560 | 2016-06-20 |
| 1063895845 | Megan Elizabeth Conway | Pediatrics | 100 Michigan St Ne # Mc13, Grand Rapids, MI 49503-2560 | 2015-06-30 |
| 1205188653 | Vernon D. Vaandrager | Pediatrics | 3760 Ravine Vista Dr. Se, Grand Rapids, MI 49508-8867 | 2012-10-10 |
| 1386907491 | Jennifer Christine Curtis | Pediatrics | 35 Michigan St Ne Ste 5301, Grand Rapids, MI 49503-2530 | 2012-06-22 |
| 1942597729 | Miranda Louise Hillard | Pediatrics | 330 Barclay, Suite 300, Grand Rapids, MI 49503-2527 | 2011-06-30 |
| 1942509278 | Julie Ann Kirby | Pediatrics | 100 Michigan St Ne # Mc169, Grand Rapids, MI 49503-2560 | 2011-03-25 |
| 1306156443 | Spectrum Health Primary Care Partners | Pediatrics | 545 Michigan St Ne, Suite 203, Grand Rapids, MI 49503-5727 | 2010-10-07 |
| 1649583675 | Cheryl Lynn Dyksen | Pediatrics | 100 Michigan St Ne # 13, Grand Rapids, MI 49503-2560 | 2010-07-19 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on MACFIELD PEDIATRICS AND FAMILY MEDICINE PC.
| 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.