MARY BETH ADYNIEC


Address: 1246 Madison Ave Se, Grand Rapids, MI 49507-1761
Phone: 6166858300

MARY BETH ADYNIEC (NPI# 1720006562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720006562
Entity Type Individual
Full Name MARY BETH ADYNIEC
Credential NP
Practice Address 1246 Madison Ave Se
Grand Rapids
MI 49507-1761
Mailing Address 245 State St Se
Grand Rapids
MI 49503-4328
Practice Telephone 6166858300
Mailing Telephone 6166851808
Mailing Fax Number 6166858099
Enumeration Date 2006-07-18
Last Update Date 2013-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704131247 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 4870508 05
MI 4878622 05

Office Location

Street Address 1246 MADISON AVE SE
City GRAND RAPIDS
State MI
Zip Code 49507-1761

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225075898 Walter Scott Metcalfe Family Medicine 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2006-06-01
1720503329 Colleen Tillema Nurse Practitioner 1246 Madison Ave Se, Grand Rapids, MI 49507 2017-08-04
1962933416 Trinity Health-michigan Clinic/Center 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2017-03-27
1497296594 Spencer Patrick Riva Physician Assistant 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2017-03-09
1548587231 Brianna Renee Kilner Internal Medicine 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2010-04-21
1801024872 Gabriel B Williams Iv Family Medicine 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2009-06-29
1710182431 Professional Financial Services Clinic/Center 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2007-06-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487156956 Kristen Zvirbulis Keeter Physical Therapist 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 2018-03-01
1508371758 Vanessa Woodard Case Manager/Care Coordinator 1939 S. Division Ave., Grand Rapids, MI 49507 2017-12-11
1306350624 Courtney Nicole Porter Social Worker 1979 S Division Ave., Grand Rapids, MI 49507 2017-11-22
1518496900 733 Prince LLC Custodial Care Facility 733 Prince St Se, Grand Rapids, MI 49507 2017-06-08
1720515406 Tiffanie Ryder Massage Therapist 1110 Merrified St, Grand Rapids, MI 49507 2017-05-12
1619404308 Shedrice's Afc Respite Care 246 Powell Se Ave, Grand Rapids, MI 49507 2017-05-12
1992171748 Richard Lavell Flowers Non-emergency Medical Transport (VAN) 1447 Elliott, Grand Rapids, MI 49507 2015-08-17
1982096087 Jordana Seebeck Social Worker 1939 S. Division Se, Grand Rapids, MI 49507 2015-02-26
1083973135 Carla May Waite Social Worker 1939 South Division, Grand Rapids, MI 49507 2012-05-10
1740550037 Jamie Lee Dalton Social Worker 2017 College Ave Se, Grand Rapids, MI 49507 2012-01-04
Find all providers in zip 49507

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487253654 Caleb S Parks Nurse Practitioner 1911 Hutchinson Ave Se, Grand Rapids, MI 49506-4614 2020-10-20
1689271272 Karen J Goehring Nurse Practitioner 625 Kenmoor Ave Se Ste 115, Grand Rapids, MI 49546-2395 2020-10-06
1043859846 Erika J Mehney Nurse Practitioner 2136 Chesaning Dr Se, Grand Rapids, MI 49506-5311 2019-12-27
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1104460633 Margaret Masters Nurse Practitioner 2749 Brooklyn Ave Se, Grand Rapids, MI 49507-3938 2019-10-28
1366085474 Jenna Shoemaker Nurse Practitioner 139 Manzana Ct Nw Apt 3b, Grand Rapids, MI 49534-7124 2019-10-21
1073163846 Jo-leighanne Marie Pascoe Nurse Practitioner 555 Midtowne St Ne Ste 400, Grand Rapids, MI 49503-5731 2019-09-13
1710531686 Emily Wilson Nurse Practitioner 445 Mulford Dr Se, Grand Rapids, MI 49507-3568 2019-07-30
1245882703 Rebecca Lauren Veneklase Nurse Practitioner 143 Lane Ave Sw, Grand Rapids, MI 49504-6172 2019-07-15
1871151613 Nicole Spratling Nurse Practitioner 1000 East Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 2019-06-05
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49507

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Dataset Information

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.

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