DR. MARK R BOELKINS (NPI# 1942396437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942396437 |
| Entity Type | Individual |
| Full Name | DR. MARK R BOELKINS |
| Credential | MD |
| Practice Address |
330 E Beltline Ave Ne Suite 100 Grand Rapids MI 49506-1267 |
| Practice Telephone | 6167526235 |
| Practice Fax Number | 6167526324 |
| Mailing Telephone | 6167526235 |
| Mailing Fax Number | 6167526324 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301047768 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1896752 | 05 |
| Street Address |
330 E BELTLINE AVE NE SUITE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701209 | Ronald Michael Hofmann | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2006-02-28 |
| 1588056048 | Jan Michele Bowerman-torres | Registered Nurse | 330 E Beltline Ave Ne, Grand Rapids, MI 49506-1267 | 2015-02-20 |
| 1285072447 | Bowan Dialysis LLC | Clinic/Center | 330 E Beltline Ave Ne, Ste 2047, Grand Rapids, MI 49506-1267 | 2013-06-10 |
| 1497005474 | Gina Renee Peterson | Physician Assistant | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2012-09-17 |
| 1093005373 | Ramandeep Singh Banga | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2011-04-08 |
| 1962704528 | Sarah Joy Carpenter | Dietitian, Registered | 330 E Beltline Ave Ne, Grand Rapids, MI 49506-1267 | 2010-12-02 |
| 1295055572 | Bonita A. Mohamed | Internal Medicine | 330 E Beltline Ave Ne, Grand Rapids, MI 49506-1267 | 2010-06-09 |
| 1760678221 | Saurabh Kumar Goel | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2007-09-19 |
| 1104036532 | Michael J Unruh | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2007-05-23 |
| 1871674200 | Renal Associates of West Michigan PC | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154675825 | William Glenn Bouman | Internal Medicine | 1141 High Point Dr. Nw, Grand Rapids, MI 49544-7341 | 2012-11-02 |
| 1174898522 | Renal and Hypertension Specialists, Pllc | Internal Medicine | 4024 Park East Ct Se, Suite C, Grand Rapids, MI 49546-8810 | 2012-03-19 |
| 1306041520 | Brett William Plattner | Internal Medicine | 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506-1267 | 2007-06-18 |
| 1295701209 | Ronald Michael Hofmann | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2006-02-28 |
| 1457690125 | Paul A Delyria | Internal Medicine | 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506-1267 | 2013-01-31 |
| 1093005373 | Ramandeep Singh Banga | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2011-04-08 |
| 1295055572 | Bonita A. Mohamed | Internal Medicine | 330 E Beltline Ave Ne, Grand Rapids, MI 49506-1267 | 2010-06-09 |
| 1528254877 | Nephrology Consultants of Grand Rapids PC | Internal Medicine | 4070 Lake Dr Se, Suite 201, Grand Rapids, MI 49525 | 2007-09-20 |
| 1760678221 | Saurabh Kumar Goel | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2007-09-19 |
| 1104036532 | Michael J Unruh | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2007-05-23 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on DR. MARK R BOELKINS.
| 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.