DR. JEFFREY DAVID CONZELMANN (NPI# 1598993180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598993180 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DAVID CONZELMANN |
| Credential | PHARMD. |
| Practice Address |
1840 Wealthy St Se Grand Rapids MI 49506-2921 |
| Practice Telephone | 6167745263 |
| Practice Fax Number | 6167747505 |
| Mailing Telephone | 6167745263 |
| Mailing Fax Number | 6167747505 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 5301000043 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP NUMBER | 2325098 | 01 |
| Street Address |
1840 WEALTHY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366416463 | Zamir Gani Podgorica | Internal Medicine | 1840 Wealthy St Se, Mc 426, Grand Rapids, MI 49506-2921 | 2006-02-15 |
| 1275142564 | William Donald Gower York | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2020-07-23 |
| 1558992172 | Jennifer Lynn Hauck | Dietitian, Registered | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2020-02-02 |
| 1144873845 | Lisa Joy Mccann-spry | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-22 |
| 1942862107 | Rose Lauren Clousing | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-08 |
| 1144781675 | Cheryl Sue Houseman | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-03-27 |
| 1336646835 | Christopher John Hopkins | Occupational Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-04-11 |
| 1184128910 | Cory Farrell | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-19 |
| 1508369356 | Jodie M Dixon | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-16 |
| 1609379957 | Andrea Lueck | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174887624 | Grmep | General Acute Care Hospital | 221 Michigan Ne Ste 200a, Grand Rapids, MI 49503 | 2012-06-29 |
| 1043598923 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 200 Jefferson Street Se, Saint Mary's Health Care, Grand Rapids, MI 49503-1770 | 2011-07-27 |
| 1114230307 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 1000 Monroe Ave Northwest, Grand Rapids Medical Education Partners, Grand Rapids, MI 49503-1455 | 2010-07-16 |
| 1184816183 | Saint Mary's Hospital | General Acute Care Hospital | 200 Jefferson Lacks Cancer Center, Grand Rapids, MI 49503 | 2007-08-14 |
| 1831725399 | Spectrum Health Hospital | General Acute Care Hospital | 301 Michigan St Ne, Grand Rapids, MI 49503-3314 | 2020-03-17 |
| 1376095224 | Mercy Health Saint Mary's | General Acute Care Hospital | 200 Jefferson Ave Se, Grand Rapids, MI 49503 | 2016-10-26 |
| 1710241492 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 221 Michigan St Ne Ste 200a, Grand Rapids, MI 49503-2543 | 2012-06-27 |
| 1841503851 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 200 Jefferson Se, Grand Rapids, MI 49503 | 2010-07-19 |
| 1790098846 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 25 Michigan St Ne Ste 2200, Grand Rapids, MI 49503-2526 | 2010-07-19 |
| 1649582248 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 1000 Monroe Ave Nw, Grand Rapids, MI 49503-1455 | 2010-07-12 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on DR. JEFFREY DAVID CONZELMANN.
| 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.