DEREK RICHARD ST LOUIS (NPI# 1467947762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467947762 |
| Entity Type | Individual |
| Full Name | DEREK RICHARD ST LOUIS |
| Credential | MD |
| Practice Address |
221 Michigan St Ne Ste 402 Grand Rapids MI 49503-2538 |
| Practice Telephone | 6163911929 |
| Practice Fax Number | 6163913130 |
| Mailing Telephone | 6163911929 |
| Mailing Fax Number | 6163913130 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301115571 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
221 MICHIGAN ST NE STE 402 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366799124 | Marci Anne Bartholomew | Orthopaedic Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2012-08-11 |
| 1669967873 | Hordur Mar Kolbeinsson | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1770078982 | Maxwell James Otto | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1437644655 | Gregory Dane Fritz | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1780179903 | Nathan Joseph-rudolph Winkler | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1023503240 | Aamir Patel | Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-29 |
| 1619462918 | Elodie Fabienne Pace-soler | Radiology | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-28 |
| 1942795240 | Darren Michel Steele | Radiology | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-28 |
| 1194210492 | Jacob Tyler Mccallum | Radiology | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-28 |
| 1093200396 | Annie Nguyet Dinh | Radiology | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1376838698 | G Jay Rottman | Radiology | 847 Parchment Se, Dmi Clinic, Grand Rapids, MI 49546 | 2011-06-15 |
| 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 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.