GRAND RAPIDS FERTILITY & IVF, PC


Address: 555 Mid Towne St Ne, Ste 300, Grand Rapids, MI 49503-2515
Phone: 6167742030

GRAND RAPIDS FERTILITY & IVF, PC (NPI# 1851324610) 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) 1851324610
Entity Type Organization
Organization Name GRAND RAPIDS FERTILITY & IVF, PC
Practice Address 555 Mid Towne St Ne
Ste 300
Grand Rapids
MI 49503-2515
Practice Telephone 6167742030
Practice Fax Number 6167742053
Mailing Telephone 6167742030
Mailing Fax Number 6167742053
Enumeration Date 2006-07-07
Last Update Date 2008-08-29
Authorized Official Name DOUGLAS CHAPMAN DALY (OWNER/PRESIDENT)
Authorized Official Telephone 6167742030
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VE0102X Obstetrics & Gynecology
Specialization: Reproductive Endocrinology
4301057122 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD 1604114301 01
MI 2807935 05
MI PREFERRED CHOICES 106052 01

Office Location

Street Address 555 MID TOWNE ST NE
STE 300
City GRAND RAPIDS
State MI
Zip Code 49503-2515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316147572 John B Mitchell Psychiatry & Neurology 555 Mid Towne St Ne, Ste 304, Grand Rapids, MI 49503 2007-07-24

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NPI Name Taxonomy Address Enumeration
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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
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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
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Taxonomy Information

Taxonomy Code 207VE0102X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Reproductive Endocrinology

Taxonomy Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881864023 Michigan Reproductive and Ivf Cener, PC Obstetrics & Gynecology 3230 Eagle Park Dr Ne, Suite 100, Grand Rapids, MI 49525-7007 2008-03-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023282647 Edwin Peter Peterson Obstetrics & Gynecology 375 W Northfield Church Rd, Ann Arbor, MI 48105 2008-04-15
1801081625 Advanced Reproductive Medicine & Surgery, PC Obstetrics & Gynecology 4190 Telegraph Rd, Suite 1500, Bloomfield Hills, MI 48302-2079 2007-09-14
1053472027 Carole L Kowalczyk Obstetrics & Gynecology 4700 E. 13 Mile Road, Suite 200, Warren, MI 48092 2006-12-13
1861571150 Fereshteh Fahimi Obstetrics & Gynecology Spb 1200 E Michigan Ave, Suite 305, Lansing, MI 48912 2006-11-06
1902867625 Manvinder Singh Obstetrics & Gynecology 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 2006-03-31
1740240654 Alexander Maximovich Obstetrics & Gynecology 4190 Telegraph Road, Suite 1500, Bloomfield Hills, MI 48302 2006-03-24
1831159078 Bradley Todd Miller Obstetrics & Gynecology 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 2006-03-23
1013994425 Maria F Hayes Obstetrics & Gynecology 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 2005-12-28
1407838535 Asghar Afsari Obstetrics & Gynecology 7419 Middlebelt Rd, Suite 1, West Bloomfield, MI 48322-4182 2005-11-15
1629364856 Phillip W Lambert Md PC Obstetrics & Gynecology 341 Canterbury Dr, Saginaw, MI 48638-5812 2011-06-27
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Competitor

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City GRAND RAPIDS
Zip Code 49503

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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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