MRS. AMELIA ROSE GRAYSON


Address: 1055 Medical Park Dr Se, Grand Rapids, MI 49546-8323
Phone: 6169429610

MRS. AMELIA ROSE GRAYSON (NPI# 1962050252) 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) 1962050252
Entity Type Individual
Full Name MRS. AMELIA ROSE GRAYSON
Credential NP-C
Practice Address 1055 Medical Park Dr Se
Grand Rapids
MI 49546-8323
Mailing Address 259 Morris Ave Se
Grand Rapids
MI 49503-4603
Practice Telephone 6169429610
Mailing Telephone 6164602992
Enumeration Date 2019-08-29
Last Update Date 2019-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
4704305033 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 1055 MEDICAL PARK DR SE
City GRAND RAPIDS
State MI
Zip Code 49546-8323

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902808272 Forest View Psychiatric Hospital Inc Psychiatry & Neurology 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3671 2005-06-01
1649884214 Jessy Gigowski Counselor 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2020-09-01
1689207334 Hill View Psychiatric Plc Psychiatry & Neurology 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2020-02-20
1558900183 Kathryn Long Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2019-12-30
1841760972 Kelly J Culmore Psychiatry & Neurology 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2018-12-02
1710457858 Jason Douglas Sikkema Psychologist 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2018-12-02
1548752314 Marci Marie Colyer Registered Nurse 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2018-06-06
1447760640 Jamie Marie Newman Registered Nurse 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2017-10-03
1154861565 Karli Reich Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2017-03-03
1124494539 Amy Catherine Stratton Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2015-08-19
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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 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

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1063045839 Rtsmedicalgroupllc Family Medicine 5210 Yorkshire Rd, Detroit, MI 48224-2139 2020-02-19
1194234120 Prime Mobile Care Incorporated Family Medicine 17515 W 9 Mile Rd Ste 375, Southfield, MI 48075-4404 2017-09-21
1093233132 Right At Home Physicians Pllc Family Medicine 22001 Kelly Rd Ste 2, Eastpointe, MI 48021-2726 2017-09-08
1821531831 Ant Hill, Inc. Family Medicine 21 Midland St, Highland Park, MI 48203-3727 2016-11-22
1518419043 Alma Care Visiting Services Family Medicine 11352 Gabriel St, Romulus, MI 48174-1431 2016-11-01
1801341821 Bridgette Defrance Family Medicine 42074 Greenwood Dr, Canton, MI 48187-3615 2016-08-19
1417311762 Adam Wolfe Family Medicine 1101 W University Dr # 2-south, Rochester, MI 48307-1863 2016-04-12
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Competitor

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City GRAND RAPIDS
Zip Code 49546

Improve Information

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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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