BORN CLINIC, PC (NPI# 1881695484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881695484 |
| Entity Type | Organization |
| Organization Name | BORN CLINIC, PC |
| Other Organization Name | BORN PREVENTIVE HEALTH CARE CLINIC,PC |
| Practice Address |
3700 52nd St Se Grand Rapids MI 49512-9637 |
| Practice Telephone | 6166563700 |
| Practice Fax Number | 6166563701 |
| Mailing Telephone | 6166563700 |
| Mailing Fax Number | 6166563701 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2012-12-10 |
| Authorized Official Name | JULIE MERRILL (ACCOUNTS MANAGER) |
| Authorized Official Telephone | 6166563700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ========= | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BORN PREVENTIVE HEALTH CARE CLINIC,PC | Other Name - Individual/Organization |
| Street Address |
3700 52ND ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-9637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003816224 | Tammy Born Huizenga | Family Medicine | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2005-07-29 |
| 1083191019 | Katherine Marie Warner | Nurse Practitioner | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2018-07-23 |
| 1073014650 | Arkadiy Sarkisov | Acupuncturist | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2018-02-28 |
| 1710339957 | Rachal L. Rossi | Nurse Practitioner | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2016-07-12 |
| 1902146582 | Robert Miller | Physician Assistant | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2013-02-19 |
| 1770811903 | Kayla R Licari | Physician Assistant | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2009-11-30 |
| 1053560045 | Jaclyn R Cochrane | Physician Assistant | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2008-09-15 |
| 1164446860 | Jeffrey P Hendricks | Family Medicine | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2006-07-26 |
| 1215972633 | Laura J Samuel | Nurse Practitioner | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2006-06-19 |
| 1467453456 | Dorothy A Pedtke | Family Medicine | 3700 52nd St Se, Grand Rapids, MI 49512-9637 | 2005-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239974 | Mercy Health Partners | Family Medicine | 826 Parchment Dr Se Ste 210, Grand Rapids, MI 49546-2307 | 2020-06-16 |
| 1740810563 | Spectrum Health Primary Care Partners | Family Medicine | 435 Ionia Ave Sw, Grand Rapids, MI 49503-5161 | 2020-01-21 |
| 1932748050 | Alexander Corcoran Pa-c LLC | Family Medicine | 2340 College Ave Se, Grand Rapids, MI 49507-3108 | 2020-01-06 |
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1619463775 | Zlex, Pllc | Family Medicine | 847 Parchment Dr Se Ste 100, Grand Rapids, MI 49546-2303 | 2018-07-02 |
| 1558856518 | Leland Cary Gyr | Family Medicine | 25 Michigan St Ne Ste 5300, Grand Rapids, MI 49503-2515 | 2018-06-22 |
| 1982126355 | Jeffrey Dufresne | Family Medicine | 300 Lafayette Ave. Se, Grand Rapids, MI 49503 | 2017-07-07 |
| 1386165157 | Samantha V Mcpharlin | Family Medicine | 300 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503 | 2017-07-03 |
| 1639699481 | Andrew R Izzo | Family Medicine | 3200 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-7057 | 2017-06-22 |
| 1871908970 | Marc Arenas | Family Medicine | 245 Cherry St Se Ste 200, Grand Rapids, MI 49503 | 2014-06-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
Please comment or provide details below to improve the information on BORN CLINIC, PC.
| 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.