MICHIGAN MEDICAL PATIENT CARE (NPI# 1558528778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558528778 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MEDICAL PATIENT CARE |
| Practice Address |
442 Century Ln Holland MI 49423-4294 |
| Mailing Address |
4085 Burton St Se Suite 200 Grand Rapids MI 49546-2444 |
| Practice Telephone | 6163963429 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | SCOTT HARRING (CFO) |
| Authorized Official Telephone | 6169744889 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN MEDICAL PATIENT CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447586540 | Michigan Medical Patient Care | Internal Medicine | 6117 Charlevoix Woods Ct Se, Grand Rapids, MI 49546-8505 | 2009-10-23 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1598907693 | Michigan Medical Patient Care | Internal Medicine | 400 Parkside Dr, Rm 136, Zeeland, MI 49464-2087 | 2009-04-03 |
| 1467693838 | Michigan Medical Patient Care | Internal Medicine | 1049 East Paris Ave Se, Grand Rapids, MI 49546-8336 | 2009-03-16 |
| 1437390028 | Michigan Medical Patient Care | Internal Medicine | 65 Ida Red Ave, Sparta, MI 49345-1735 | 2009-03-12 |
| 1275774861 | Michigan Medical Patient Care | Internal Medicine | 5761 Jupiter Ave Ne, Belmont, MI 49306-8859 | 2009-03-12 |
| 1508033283 | Michigan Medical Patient Care | Family Medicine | 302 S Beechtree St, Grand Haven, MI 49417-2004 | 2008-05-13 |
| 1043540818 | Michigan Medical Patient Care | Internal Medicine | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2009-12-30 |
| 1841527413 | Michigan Medical Patient Care | Durable Medical Equipment & Medical Supplies | 3152 Port Sheldon St, Hudsonville, MI 49426-9297 | 2009-11-03 |
| 1548596646 | Michigan Medical Patient Care | Internal Medicine | 3515 Leonard St Nw, Walker, MI 49534-3619 | 2009-10-23 |
| Street Address |
442 CENTURY LN |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-4294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790109536 | Justin Scott Peasley | Chiropractor | 442 Century Ln, Suite 200, Holland, MI 49423-4294 | 2014-02-14 |
| 1144539313 | Spectrum Health Primary Care Partners | Pediatrics | 442 Century Ln, Holland, MI 49423-4294 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| 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 |
|---|---|---|---|---|
| 1750795993 | Lauren Ashley Mortensen | Pediatrics | 926 Washington Ave Bldg C, Holland, MI 49423-7725 | 2014-06-16 |
| 1053645879 | Lynn Marie Konchanin | Pediatrics | 12 Sawmill Ct, Holland, PA 18966-5401 | 2009-09-25 |
| 1730121955 | Alan S Zakuto | Pediatrics | 295 Buck Road, Holland, PA 18966 | 2006-06-12 |
| 1417998709 | Karen Locke | Pediatrics | 588 E Lakewood Blvd Fl 1, Holland, MI 49424-2023 | 2006-06-09 |
| 1205813151 | Bhawna Bhatia | Pediatrics | 1106 S Mccord Rd, Holland, OH 43528-9596 | 2005-12-30 |
| 1740694983 | Betsy Joy Breuker Beckman | Pediatrics | 3235 N Wellness Dr Ste 120a, Holland, MI 49424 | 2014-06-16 |
| 1477967610 | Jeanne Poel | Pediatrics | 926 Washington Ave Bldg C, Holland, MI 49423 | 2014-06-16 |
| 1144539313 | Spectrum Health Primary Care Partners | Pediatrics | 442 Century Ln, Holland, MI 49423-4294 | 2010-10-05 |
| 1821301508 | Daniela J Egelmeer | Pediatrics | 926 S. Washington Ave, Bldg C, Holland, MI 49423 | 2010-07-22 |
| 1467765107 | Jason Vanderlugt | Pediatrics | 602 Michigan Ave, Boven Birth Center, Holland, MI 49423-4918 | 2010-07-22 |
| Find all providers in HOLLAND | ||||
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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.