DR. JEFFREY BERNARD CASAMENTO (NPI# 1780607044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780607044 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY BERNARD CASAMENTO |
| Credential | M.D. |
| Practice Address |
245 Cherry St Se Suite 202 Grand Rapids MI 49503-4607 |
| Practice Telephone | 6164593551 |
| Practice Fax Number | 6164591060 |
| Mailing Telephone | 6164593551 |
| Mailing Fax Number | 6164591060 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | JC063636 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3046021 | 05 |
| Street Address |
245 CHERRY ST SE SUITE 202 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768820 | Stacyann Steen | Family Medicine | 245 Cherry St Se, Ste 100, Grand Rapids, MI 49503 | 2005-08-23 |
| 1831691138 | Douglas Craig Sjoerdsma Jr. | Physical Therapist | 245 Cherry St Se, Grand Rapids, MI 49503-4607 | 2018-03-02 |
| 1821537143 | Malorie Venlet | Social Worker | 245 Cherry St Se, Suite 200, Grand Rapids, MI 49503-4607 | 2017-02-20 |
| 1902275506 | Margaret Vandewater | Nurse Practitioner | 245 Cherry St Se, Suite 100, Grand Rapids, MI 49503-4607 | 2015-09-24 |
| 1356764674 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2014-01-22 |
| 1649601295 | Shanna Henderson | Physician Assistant | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2013-12-09 |
| 1417208463 | Stephanie Dora Smith | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-09-29 |
| 1427303452 | Mary Jo Richard | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-07-16 |
| 1134483340 | Crystal Ann Zilo | Obstetrics & Gynecology | 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 | 2012-07-02 |
| 1982991683 | Aileen Elizabeth M Ampil Antonio | Ophthalmology | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2011-07-01 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| 1003013392 | Erik M Ratchford | Urology | 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 | 2007-06-29 |
| 1255537056 | Naveed Naeem | Urology | 161 Ottawa Ave Nw Ste 300, Grand Rapids, MI 49503-2701 | 2007-06-27 |
| 1467561480 | Urology Surgeons PC | Urology | 1000 E Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 | 2006-08-30 |
| 1467497495 | John Harrison Kopchick | Urology | 2240 Teal Ct Se, Grand Rapids, MI 49546-7939 | 2006-06-16 |
| 1093755092 | Richard Kahnoski | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2006-06-07 |
| 1376501502 | Thomas J Maatman | Urology | 4047 E. Hills Court Se, Grand Rapids, MI 49546-6249 | 2006-05-04 |
| 1972596823 | Russell K Lawson | Urology | 1601 Golf Course Road, Grand Rapids, MN 55744 | 2005-08-25 |
| 1366853293 | Conrad Maxwell Tobert | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2014-05-14 |
| 1528403235 | George Michael Ghareeb | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2013-05-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.