MICHIGAN MEDICAL PATIENT CARE (NPI# 1649334590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649334590 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MEDICAL PATIENT CARE |
| Practice Address |
4069 Lake Dr Se Suite 315 D Grand Rapids MI 49546-8816 |
| Mailing Address |
4085 Burton St Se Suite 200 Grand Rapids MI 49546-2444 |
| Practice Telephone | 6164642890 |
| Mailing Telephone | 6169744889 |
| Enumeration Date | 2006-12-21 |
| 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 | 207W00000X | Ophthalmology | 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 |
| 1558528778 | Michigan Medical Patient Care | Pediatrics | 442 Century Ln, Holland, MI 49423-4294 | 2008-05-16 |
| 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 |
| Street Address |
4069 LAKE DR SE SUITE 315 D |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811983000 | Spectrum Health | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 210, Grand Rapids, MI 49546-8816 | 2005-09-22 |
| 1184070807 | Danielle Wentworth | Audiologist | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2016-05-12 |
| 1205253424 | Elizabeth House | Physician Assistant | 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 | 2014-03-26 |
| 1043655780 | Spectrum Health Primary Care Partners | Nutritionist | 4069 Lake Dr Se, Ste. 315, Grand Rapids, MI 49546-8816 | 2013-05-08 |
| 1790025898 | George Torao Sugiyama | Surgery | 4069 Lake Dr Se, Suite 312, Grand Rapids, MI 49546-8816 | 2013-02-26 |
| 1639442791 | Debra Ann West | Audiologist | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2012-02-20 |
| 1982976924 | Ashley Lucas | Physician Assistant | 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 49546-8816 | 2012-02-07 |
| 1861762122 | Carley Therese Flegler | Physician Assistant | 4069 Lake Dr Se, Suite 313, Grand Rapids, MI 49546-8816 | 2012-01-04 |
| 1013227156 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2010-10-07 |
| 1285944322 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4069 Lake Dr Se, Suite 314, Grand Rapids, MI 49546-8816 | 2010-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1609212208 | Mary Jia Ling Lim | Ophthalmology | 35 Michigan St Ne Ste 5101, Grand Rapids, MI 49503-2529 | 2013-05-22 |
| 1215143797 | Kathleen Urban Dehorn | Ophthalmology | 2505 East Paris Ave Se Ste 100, Grand Rapids, MI 49546-6100 | 2007-05-14 |
| 1194894055 | Michael Debre' Harrison | Ophthalmology | 435 Cherry St Se, Grand Rapids, MI 49503-4672 | 2006-11-07 |
| 1194753186 | Thomas Marshall Aaberg Jr. | Ophthalmology | 5030 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-06-29 |
| 1699703470 | Danny D Wang | Ophthalmology | 2727 E Beltline Ave Ne, Suite 101, Grand Rapids, MI 49525-9611 | 2006-06-29 |
| 1710913926 | Vitreo-retinal Associates P.C. | Ophthalmology | 2505 East Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 | 2006-06-23 |
| 1255371647 | Jeffrey Daniel Zheutlin | Ophthalmology | 2505 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 | 2006-06-07 |
| 1972552628 | Patrick Joseph Droste | Ophthalmology | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-05-09 |
| 1598727935 | Elizabeth H Henry | Ophthalmology | 791 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546-8625 | 2006-04-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.