DR. JOHN JOSEPH GRIBAR (NPI# 1770600462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770600462 |
Entity Type | Individual |
Full Name | DR. JOHN JOSEPH GRIBAR |
Credential | M.D., M HSC. |
Practice Address |
602 Michigan Ave Holland MI 49423-4918 |
Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503 |
Practice Telephone | 6163923824 |
Practice Fax Number | 6164945950 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2014-12-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301083655 | MI | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
4301083655 | MI | Allopathic & Osteopathic Physicians |
Street Address |
602 MICHIGAN AVE |
City | HOLLAND |
State | MI |
Zip Code | 49423-4918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497749873 | Gregory A Bernath | Internal Medicine | 602 Michigan Ave, Holland, MI 49423-4918 | 2005-08-31 |
1962044115 | Kellie Timmer | Physician Assistant | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-10-09 |
1407407547 | Erin Rene Vochaska | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-09-20 |
1134783335 | Trisha Rae Meyers | Social Worker | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-04-24 |
1013487271 | Nicholas Russell | Physical Therapist | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-11-30 |
1316415458 | David John Stearns | Physical Therapy Assistant | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-11-07 |
1710452172 | Linda Nichols | Physical Therapy Assistant | 602 Michigan Ave, Holland, MI 49423 | 2018-10-11 |
1932684172 | Courtney M Kraker | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-10-02 |
1912487638 | Holland Community Hospital | Internal Medicine | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-08-21 |
1376030411 | Kurt Feringa | Nurse Anesthetist, Certified Registered | 602 Michigan Ave, Holland, MI 49423 | 2018-04-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
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Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528606241 | Cypress Cardiology Pa | Internal Medicine | 1286 S Linden Rd Ste A, Flint, MI 48532-3457 | 2019-12-12 |
1609342757 | Michael Ira Klein | Internal Medicine | 111 Elm St Apt 331, Birmingham, MI 48009-6346 | 2018-10-16 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1003319096 | Michigan Canton Cardiology Associates Pllc | Internal Medicine | 4020 Venoy Rd Ste 200, Wayne, MI 48184-1899 | 2018-03-15 |
1700337227 | Prime Vascular Center Pllc | Internal Medicine | G-5103 Miller Rd, Flint, MI 48507-1043 | 2016-10-19 |
1003366675 | K Heart & Vascular Institute, Pllc | Internal Medicine | 33376 Dequindre Road, Sterling Heights, MI 48310-5966 | 2016-10-07 |
1255738472 | Ashok Kondur Md PC | Internal Medicine | 4160 John R St Ste 525, Detroit, MI 48201-2022 | 2014-12-03 |
1952697252 | Abiy Temesgen Nigatu | Internal Medicine | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 | 2011-06-24 |
1477845824 | Ehk Endovascular Pllc | Internal Medicine | 5500 Auto Club Drive, Suite 250, Dearborn, MI 48126-2683 | 2011-05-04 |
1134410970 | Erik Henry Howell | Internal Medicine | 14555 Levan Rd Ste 203, Livonia, MI 48154 | 2011-04-27 |
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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.