National Provider Identifier (NPI)
GRAND RAPIDS


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

GRAND RAPIDS · 4100 LAKE DR SE STE 205 · Search Result

NPI Name Taxonomy Address Enumeration
1699001156 Thomas Jay Beverwyk Physician Assistant 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2009-10-19
1265073027 Jared Thomas Courtright Physician Assistant 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2019-10-03
1225596588 Sheila Marie Zank Nurse Practitioner 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2019-03-06
1417421405 Margaret Elizabeth Peklo Nurse Practitioner 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2019-01-14
1588031256 Sarah Catherine Roy Nurse Practitioner 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2015-08-28
1861890683 Sandra Lynn Allen Physician Assistant 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2014-12-10
1871995399 Brittany Mara Dean Physician Assistant 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2014-09-17
1104247410 Ross Reynolds Physician Assistant 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2014-01-05
1760724132 Matthew James Nelson Internal Medicine 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2013-03-22
1245598820 Katherine A Kelley Colon & Rectal Surgery 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2012-05-02
1821379132 David Mark Ophoff Physician Assistant 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2011-08-31
1649581810 Lindsay Smith Mohrhardt Internal Medicine 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2010-06-23
1497070718 Ryan Joshua Wong Internal Medicine 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 2010-03-30