JASON TRYGVE STUBBS (NPI# 1578768644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578768644 |
| Entity Type | Individual |
| Full Name | JASON TRYGVE STUBBS |
| Credential | D.O. |
| Practice Address |
3100 N. Wellness Dr Holland MI 49424 |
| Practice Telephone | 6169942770 |
| Practice Fax Number | 6169206533 |
| Mailing Telephone | 6169942770 |
| Mailing Fax Number | 6169206533 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
5101022863 | MI | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
02004173A | IN | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 5101022863 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1445 Sheldon Rd Ste 303, Grand Haven, MI 494172479 | 6169942770 | 6169206533 |
| 3501 Rivertown Point Ct Sw, Grandville, MI 49418 | 6169942770 | 6169206533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356562904 | Jason Robert Stubbs | Internal Medicine | 3901 Rainbow Blvd, Ms3002, Kansas City, KS 66160-0001 | 2007-05-01 |
| Street Address |
3100 N. WELLNESS DR |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740244870 | Richard J Strabbing | Otolaryngology | 3100 N. Wellness Dr, Holland, MI 49424 | 2006-04-14 |
| 1831526565 | Stacey Elizabeth Braund | Audiologist | 3100 N. Wellness Dr, Holland, MI 49424 | 2013-09-26 |
| 1780029991 | Michigan Ear, Nose, Throat, and Allergy Specialists, PC | Allergy & Immunology | 3100 N. Wellness Dr, Holland, MI 49424 | 2013-05-01 |
| 1245577865 | Aleica L Kovatch | Physician Assistant | 3100 N. Wellness Dr, Holland, MI 49424 | 2013-01-16 |
| 1871743898 | Leslie Sue Tenbrink | Nurse Practitioner | 3100 N. Wellness Dr, Holland, MI 49424 | 2008-09-26 |
| 1265697783 | Seth Charles Palmer | Otolaryngology | 3100 N. Wellness Dr, Holland, MI 49424 | 2008-07-24 |
| 1346401460 | Erica L Mandrick | Audiologist | 3100 N. Wellness Dr, Holland, MI 49424 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770696379 | Lakehsore Otolaryngology | Otolaryngology | 577 Michigan Avenue, Suite 101, Holland, MI 49423 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429568 | Hills Ent Institute Pllc | Otolaryngology | 43700 Woodward Ave Ste 201, Bloomfield Hills, MI 48302-5061 | 2018-06-02 |
| 1639402258 | Shant Ara Korkigian | Otolaryngology | 25500 Meadowbrook Rd Ste 220, Novi, MI 48375 | 2009-09-14 |
| 1992914725 | Theodore Alan Golden | Otolaryngology | 755 W Big Beaver, Suite 2111, Troy, MI 48084 | 2007-05-21 |
| 1407992480 | David M Kent | Otolaryngology | 100 Kirts Blvd, Troy, MI 48084-5251 | 2007-01-29 |
| 1356394803 | Northwoods Ear, Nose & Throat PC | Otolaryngology | 2611 Charlevoix Ave, Petoskey, MI 49770-8524 | 2006-05-18 |
| 1174588370 | Richard A Wandzel | Otolaryngology | 222 W Highland Rd, Highland, MI 48357-4504 | 2006-04-19 |
| 1427037282 | Steven Joe Kin | Otolaryngology | 2300 Haggerty Rd Ste 2130, West Bloomfield, MI 48323-2191 | 2006-01-11 |
| 1780112144 | Matthew Wesley Globerson | Otolaryngology | 25500 Meadowbrook Rd, Novi, MI 48375-1878 | 2017-05-30 |
| 1770024630 | Niki Patel | Otolaryngology | 1000 Harrington St, Mount Clemens, MI 48043 | 2017-03-12 |
| 1063951689 | Colin Byrd | Otolaryngology | 50 N Perry St, Pontiac, MI 48342-2217 | 2017-02-15 |
| Find all providers with the same taxonomy | ||||
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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.