DR. JENA MARIE KRUEGER (NPI# 1679898357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679898357 |
| Entity Type | Individual |
| Full Name | DR. JENA MARIE KRUEGER |
| Credential | M.D. |
| Practice Address |
35 Michigan St Ne Suite 3003 Grand Rapids MI 49503-2514 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162672500 |
| Practice Fax Number | 6162672501 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
4301109804 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
35 MICHIGAN ST NE SUITE 3003 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494120 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2005-08-15 |
| 1124650130 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2020-02-07 |
| 1326607029 | Julie Lynn Cusic | Social Worker | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2019-06-07 |
| 1144732850 | Michelle Kristine Buist | Nurse Practitioner | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2017-11-03 |
| 1780195354 | Monica Mulder | Nurse Practitioner | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2029 | 2017-10-23 |
| 1790218980 | Katie Patterson | Technician/Technologist | 35 Michigan St Ne, Suite 5101, Grand Rapids, MI 49503-2514 | 2017-04-05 |
| 1316493604 | Sarah Kempton | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-08-28 |
| 1245683002 | Shawn Kay Hillman | Nurse Practitioner | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2016-07-18 |
| 1710351614 | Jutta Strueber | Student in an Organized Health Care Education/Training Program | 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 | 2015-11-16 |
| 1740668607 | Samantha Rosen | Optometrist | 35 Michigan St Ne, Suite 5101, Grand Rapids, MI 49503-2514 | 2015-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184735698 | Olufemi O Soyode | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2006-08-31 |
| 1215921432 | Brian Eric Woodruff | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2005-09-02 |
| 1942620638 | Center for Adolescent and Child Neurology | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2014-04-21 |
| 1164866414 | David Sung-wook Moon | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2013-04-17 |
| 1497097588 | Harlori Kaur Bains | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2013-03-26 |
| 1518128974 | Seth Philip Devries | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 | 2008-06-18 |
| 1942461447 | Anastasia Luniova | Psychiatry & Neurology | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2008-06-18 |
| 1710165030 | Albert Da-tzu Ho | Psychiatry & Neurology | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503 | 2008-02-08 |
| 1457444531 | Angel W Hernandez | Psychiatry & Neurology | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2006-10-02 |
| 1114993474 | Jason Umfleet | Psychiatry & Neurology | 35 Michigan Ne, Suite 3003, Grand Rapids, MI 49503 | 2006-02-27 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on DR. JENA MARIE KRUEGER.
| 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.