ANDREW CHARLES HEAFORD


Address: 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816
Phone: 6162677758

ANDREW CHARLES HEAFORD (NPI# 1801005251) 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) 1801005251
Entity Type Individual
Full Name ANDREW CHARLES HEAFORD
Credential MD
Practice Address 4069 Lake Dr Se
Suite 315
Grand Rapids
MI 49546-8816
Mailing Address 100 Michigan St Ne
Mc 845
Grand Rapids
MI 49503-2560
Practice Telephone 6162677758
Practice Fax Number 6162677290
Enumeration Date 2007-05-22
Last Update Date 2016-05-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology 4301104370 MI Allopathic & Osteopathic Physicians
Y 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
4301104370 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 4069 LAKE DR SE
SUITE 315
City GRAND RAPIDS
State MI
Zip Code 49546-8816

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207YP0228X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Pediatric Otolaryngology

Taxonomy Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568861557 Henry Ford Wyandotte Hospital Otolaryngology 23050 West Rd Ste 240, Brownstown Twp, MI 48183-1473 2014-08-15
1538568696 James Coticchia, M.d., P.C. Otolaryngology 18181 Oakwood Blvd Ste 202, Dearborn, MI 48124-4082 2014-08-14
1528357506 Mallory Brooke O'niel Otolaryngology 3901 Beaubien St Ste 2102, Detroit, MI 48201-2119 2011-03-30
1629300165 Sinan Atmaca Otolaryngology 29120 Franklin Rd, Southfield, MI 48034-1105 2010-02-09
1437387297 Ranga Reddy Sirigiri Otolaryngology 660 Trombley Dr, Troy, MI 48083-5135 2009-06-30
1528258787 Cecilia Canto Helwig Otolaryngology 3901 Beaubien St Ste 3515, Detroit, MI 48201 2007-07-25
1770831497 Randa Al Barazi Otolaryngology 3901 Beaubien St, Children's Hospital of Michigan, Detroit, MI 48201 2012-08-28
1538399621 Sonal Saraiya Otolaryngology 3901 Beaubien St, Detroit, MI 48201-2119 2009-07-23
1174759815 Nathan Gonik Otolaryngology 3901 Beaubien St, Suite 2102, Detroit, MI 48201-2119 2009-06-09
1134378730 Ear, Nose & Throat Institute of Michigan, Pllc Otolaryngology 14555 Levan Rd, Suite 206, Livonia, MI 48154-5083 2008-09-18
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Competitor

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City GRAND RAPIDS
Zip Code 49546

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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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