GRAND MERIDIAN FOOT AND ANKLE SPECIALISTS (NPI# 1538339676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538339676 |
| Entity Type | Organization |
| Organization Name | GRAND MERIDIAN FOOT AND ANKLE SPECIALISTS |
| Practice Address |
721 3 Mile Rd Nw Suite 100 Grand Rapids MI 49544-8229 |
| Mailing Address |
4310 Leonard St Nw Suite 103 Walker MI 49534-8447 |
| Practice Telephone | 6167841595 |
| Practice Fax Number | 6167845920 |
| Mailing Telephone | 6164536329 |
| Mailing Fax Number | 6164531725 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-11-13 |
| Authorized Official Name | JAMES BENDER (PHYSICIAN) |
| Authorized Official Telephone | 6167841595 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 4854150090 | 01 |
| MI | STATE LICENSE | JB001217 | 01 |
| MI | STATE LICENSE | ES002162 | 01 |
| Street Address |
721 3 MILE RD NW SUITE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-8229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053349993 | Jeffrey Joseph Vanwingen | Family Medicine | 721 3 Mile Rd Nw, Suite 200, Grand Rapids, MI 49544-8229 | 2006-06-29 |
| 1386072825 | Stephanie Abbott | Physician Assistant | 721 3 Mile Rd Nw, Suite 200, Grand Rapids, MI 49544-8229 | 2013-10-18 |
| 1386949436 | Luke A Caldwell | Nurse Practitioner | 721 3 Mile Rd Nw, Suite 200, Grand Rapids, MI 49544-8229 | 2011-01-21 |
| 1205155819 | Nathaniel J Voshel Dpm | Podiatrist | 721 3 Mile Rd Nw, Suite 100, Grand Rapids, MI 49544-8229 | 2010-05-21 |
| 1427264373 | Nathaniel James Voshel | Podiatrist | 721 3 Mile Rd Nw, Suite 100, Grand Rapids, MI 49544-8229 | 2007-05-15 |
| 1124056643 | Terrence Patrick Wright | Family Medicine | 721 3 Mile Rd Nw, Suite 200, Grand Rapids, MI 49544-8229 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699839365 | Martin G Hoffmeister | Podiatrist | 2501 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49505-3700 | 2006-12-20 |
| 1376638114 | Michael J Trompen | Podiatrist | 4915 Cascade Rd Se, Grand Rapids, MI 49546 | 2006-10-04 |
| 1255432977 | Rodney Ray Senneker | Podiatrist | 6703 S Division Ave, Grand Rapids, MI 49548 | 2006-09-26 |
| 1144330556 | Anthony J Kirk | Podiatrist | 2050 Breton Rd Se, Suite 105, Grand Rapids, MI 49546-5547 | 2006-08-30 |
| 1235116872 | Alpine Family Podiatry PC | Podiatrist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2005-12-24 |
| 1407833049 | Croswell Podiatry Pllc | Podiatrist | 2460 Burton St Se, Suite 200, Grand Rapids, MI 49546-4800 | 2005-12-24 |
| 1740282409 | David Smith | Podiatrist | 56 Benjamin Ave Se, Grand Rapids, MI 49506-1628 | 2005-08-12 |
| 1982029716 | Kent Podiatry | Podiatrist | 1238 Fuller Ave Ne, Grand Rapids, MI 49505-5533 | 2014-03-04 |
| 1205155819 | Nathaniel J Voshel Dpm | Podiatrist | 721 3 Mile Rd Nw, Suite 100, Grand Rapids, MI 49544-8229 | 2010-05-21 |
| 1558590471 | Sandeep Kaur Bains | Podiatrist | 3355 Eagle Park Dr Ne, Suite 105, Grand Rapids, MI 49525-7004 | 2009-07-13 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on GRAND MERIDIAN FOOT AND ANKLE SPECIALISTS.
| 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.