KERRY L GORSUCH (NPI# 1952332769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952332769 |
| Entity Type | Individual |
| Full Name | KERRY L GORSUCH |
| Credential | MD |
| Practice Address |
1787 Grand Ridge Ct Ne Grand Rapids MI 49525-7042 |
| Mailing Address |
245 State St Se Grand Rapids MI 49503-4328 |
| Practice Telephone | 6169138601 |
| Mailing Fax Number | 6169131818 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301054541 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4878785 | 05 | |
| MI | 2997348 | 05 | |
| MI | 4117781 | 05 | |
| MI | 4878257 | 05 | |
| MI | 4878408 | 05 | |
| MI | 3021247 | 05 |
| Street Address |
1787 GRAND RIDGE CT NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-7042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025166 | Chadwick A Furness | Family Medicine | 1787 Grand Ridge Ct Ne, Suite 101, Grand Rapids, MI 49525 | 2006-06-02 |
| 1235591280 | Julie Cooper | Nurse Practitioner | 1787 Grand Ridge Ct Ne, Suite 101, Grand Rapids, MI 49525-7042 | 2016-03-28 |
| 1194132498 | Rachel Sportel | Family Medicine | 1787 Grand Ridge Ct Ne, Suite 101, Grand Rapids, MI 49525-7042 | 2014-07-18 |
| 1689978041 | Advanced Age Management Pllc | Clinic/Center | 1787 Grand Ridge Ct Ne, Suite 202, Grand Rapids, MI 49525-7042 | 2010-12-28 |
| 1598088171 | Shahnaz Ali, M.d. Pllc | Internal Medicine | 1787 Grand Ridge Ct Ne, Ste 202, Grand Rapids, MI 49525-7042 | 2010-03-10 |
| 1730417288 | Age Management and Hormone Balance Center | Internal Medicine | 1787 Grand Ridge Ct Ne, Suite 202, Grand Rapids, MI 49525-7042 | 2009-11-20 |
| 1295963601 | Dana M Pigorsh | Physician Assistant | 1787 Grand Ridge Ct Ne, Ste 202, Grand Rapids, MI 49525-7042 | 2009-06-24 |
| 1982844692 | Patrick O Mulkerin | Nurse Practitioner | 1787 Grand Ridge Ct Ne, Ste 202, Grand Rapids, MI 49525-7042 | 2009-02-20 |
| 1841446499 | Grand Rapids Hand, Plc | Occupational Therapist | 1787 Grand Ridge Ct Ne, Suite 201, Grand Rapids, MI 49525-7042 | 2008-08-14 |
| 1689843302 | Lisa M Smith Dc LLC | Chiropractor | 1787 Grand Ridge Ct Ne, Suite 103, Grand Rapids, MI 49525-7042 | 2008-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1265953335 | Jacqueline Cornell | Obstetrics & Gynecology | 300 Lafayette Ave Se Ste 3200, Grand Rapids, MI 49503-4692 | 2017-06-29 |
| 1689056244 | Stephanie Lynn Flermoen | Obstetrics & Gynecology | 3800 Lake Michigan Dr Nw Ste A, Grand Rapids, MI 49534-4583 | 2015-06-19 |
| 1770922064 | Emma Giuliani | Obstetrics & Gynecology | 3230 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-7047 | 2013-06-19 |
| 1861781783 | Maggi Ann Forgue | Obstetrics & Gynecology | 245 Cherry St Se Ste 306, Grand Rapids, MI 49503 | 2011-03-31 |
| 1043545882 | Mili Thakur | Obstetrics & Gynecology | 3230 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-7047 | 2009-10-13 |
| 1912105248 | Erinn Marie Hoekstra | Obstetrics & Gynecology | 555 Midtowne St. Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2007-07-09 |
| 1881891240 | Samuel Dean Fox | Obstetrics & Gynecology | 330 Barclay Ave Ne Ste 102, Grand Rapids, MI 49503-2525 | 2007-06-29 |
| 1558568204 | Knollcrestob-gyn Associates, P.C. | Obstetrics & Gynecology | 3300 Burton St Se, Grand Rapids, MI 49546-4398 | 2007-06-27 |
| 1134220270 | Joseph Peter Talcott | Obstetrics & Gynecology | 1525 E Beltline Ave Ne Ste 203, Grand Rapids, MI 49525-4598 | 2006-09-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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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.