KEITH B JAVERY


Address: 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379
Phone: 6165887246

KEITH B JAVERY (NPI# 1891892402) 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) 1891892402
Entity Type Individual
Full Name KEITH B JAVERY
Credential DO
Practice Address 710 Kenmoor Ave Se
Suite 200
Grand Rapids
MI 49546-2379
Practice Telephone 6165887246
Practice Fax Number 6165887086
Mailing Telephone 6165887246
Mailing Fax Number 6165887086
Enumeration Date 2006-09-19
Last Update Date 2009-05-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
5101012927 MI Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
5101012927 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1164664082 05

Office Location

Street Address 710 KENMOOR AVE SE
SUITE 200
City GRAND RAPIDS
State MI
Zip Code 49546-2379

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235138397 Martin J Bury Specialist 710 Kenmoor Ave Se, Suite 100, Grand Rapids, MI 49546-2379 2005-07-20
1356777098 Abby Alysse Gaskell Physician Assistant 710 Kenmoor Ave Se, Ste. 100, Grand Rapids, MI 49546-2302 2013-09-25
1992142624 Jeremy Robert Veenema Pediatrics 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 2013-06-04
1164785887 Ann Carol Swagman Registered Nurse 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546 2012-06-18
1124332606 Intervention Insights Inc. Clinic/Center 710 Kenmoor Ave Se, Ste 120, Grand Rapids, MI 49546-2379 2010-07-27
1033442231 Christopher Ross Russo Anesthesiology 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-09-08
1508092164 Joshua Suderman Anesthesiology 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-06-09
1164664082 Javery Pain Institute PC Pain Medicine 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-03-25
1154509768 Linda Lou Feighner Nurse Practitioner 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 2008-02-06
1932227915 Western Michigan Pediatrics, PC Pediatrics 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 2007-03-27
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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 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164664082 Javery Pain Institute PC Pain Medicine 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-03-25
1134186513 Bennett L Willard Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-04-28
1306803010 Daniel Mark Mankoff Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-04-27
1376509158 Stephen Lee Winston Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-04-21
1457315095 Joseph Yared Vanden Bosch Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-04-12
1619930575 Thomas Michael Basch Pain Medicine 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 2006-04-10
1619938545 Mark Louis Gostine Pain Medicine 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-6113 2006-03-30
1144281080 Kevin Edward Fitzgerald Pain Medicine 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 2006-03-30
1225099161 Fred Neal Davis Pain Medicine 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-6113 2006-03-30
1225007206 Scott Howard Greenwald Pain Medicine 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 2006-03-14
Find all providers in GRAND RAPIDS

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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