DR. SANJAY EARL PATRA (NPI# 1811106511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811106511 |
| Entity Type | Individual |
| Full Name | DR. SANJAY EARL PATRA |
| Credential | M.D. |
| Practice Address |
25 Michigan St Ne Suite 6100 Grand Rapids MI 49503-2515 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677900 |
| Practice Fax Number | 6162677901 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4301085644 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
25 MICHIGAN ST NE SUITE 6100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175342 | Stephen Christopher Cook | Pediatrics | 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 | 2005-06-27 |
| 1407412539 | Aneta Toma | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2019-05-14 |
| 1033673363 | Kara Vanderkallen | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2019-01-31 |
| 1902391964 | Carmen Kagha | Family Medicine | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2018-06-22 |
| 1700394301 | Daniel Jacob Elliott | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2018-01-17 |
| 1629585997 | Dylan Lee Kosaski | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2018-01-08 |
| 1073020343 | Rachel Pavona | Pharmacy Technician | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2018-01-08 |
| 1154842193 | Asaf Harris | Internal Medicine | 25 Michigan St Ne, Suite 2100, Grand Rapids, MI 49503-2526 | 2017-06-29 |
| 1811439763 | Danielle Susan Douglass | Physician Assistant | 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 | 2016-11-09 |
| 1457803751 | Anina L Cicerone-carder | Physician Assistant | 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 | 2016-11-03 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598945644 | Justin Charles Clark | Neurological Surgery | 414 Plymouth Ne, Grand Rapids, MI 49505-6041 | 2007-11-06 |
| 1639201353 | David Grant Carr | Neurological Surgery | 1707 Mont Rue Dr. Se, Grand Rapids, MI 49546 | 2007-03-09 |
| 1225119027 | John E. Stevenson | Neurological Surgery | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 | 2006-10-18 |
| 1811965585 | Kent Neurological Associates PC | Neurological Surgery | 3200 Eagle Park Dr Ne Ste 108, Grand Rapids, MI 49525-7057 | 2006-03-09 |
| 1346215969 | Vicente Caldeira Gracias | Neurological Surgery | 445 Cherry St Se, Grand Rapids, MI 49503-4601 | 2006-02-17 |
| 1053386789 | Robert John Seledotis | Neurological Surgery | 847 Parchment Dr Se Ste 125, Grand Rapids, MI 49546-8623 | 2006-02-17 |
| 1427543487 | Leonard Herman Verhey | Neurological Surgery | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2018-06-22 |
| 1275055881 | Andres Felipe Restrepo Orozco | Neurological Surgery | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2017-07-14 |
| 1730634759 | Marian Michael Bercu | Neurological Surgery | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 | 2016-08-19 |
| 1831474618 | Artur Szymczak | Neurological Surgery | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2528 | 2011-10-12 |
| 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.