Jeffery J Libra (NPI# 1619009826, PAC ID# 1355516360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619009826 |
| PAC ID by PECOS | 1355516360 |
| Professional Enrollment ID | I20111202000117 |
| Full Name | Jeffery J Libra |
| Organization Legal Name | VPA PC |
| Address |
3355 Eagle Park Dr Ne Suite 103 Grand Rapids MI 49525-7004 |
| Phone Number | 6169427400 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9234041948 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230072 | HOLLAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3355 Eagle Park Dr Ne, Suite 103, Grand Rapids, MI 49525-7004 | 6169427400 | VPA PC |
| Organization Legal Name | VPA PC |
| Physicians | 188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darshana Chadda Dettmer | Internal Medicine | Vpa PC | 606 Oakesdale Ave Sw, Suite C200, Renton, WA 98057-5227 |
| Sherrilyn W Lorenz | Nurse Practitioner | Vpa PC | 2725 Airview Blvd, Suite 105, Portage, MI 49002-1800 |
| Lizeht Monarrez | Nurse Practitioner | Vpa PC | 2 Transam Plaza Dr, Suite 410, Oakbrook Terrace, IL 60181-4290 |
| Christine Boven | Nurse Practitioner | Vpa PC | 1484 Straits Dr, Suite 5, Bay City, MI 48706-8705 |
| Maryann Matthews | Nurse Practitioner | Vpa PC | 7350 Industrial Pkwy, Mentor, OH 44060-5318 |
| Philip B Augustine | Internal Medicine | Vpa PC | 9393 W 110th St, Suite 500, Overland Park, KS 66210-1464 |
| Shihab Rabh | Family Medicine | Vpa PC | 2205 Jolly Rd A, Okemos, MI 48864-3983 |
| Jamie H Stone | Internal Medicine | Vpa PC | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8420 |
| Alla Khekhoyeva | Nurse Practitioner | Vpa PC | 4435 Aicholtz Rd, Suite 200, Cincinnati, OH 45245-1690 |
| Varinia Urday Gamalski | Internal Medicine | Vpa PC | 21540 W 11 Mile Rd, Suite 200, Southfield, MI 48076-3843 |
| Street Address |
3355 EAGLE PARK DR NE SUITE 103 |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49525-7004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Schroeder | Clinical Social Worker | 3355 Eagle Park Dr Ne, Suite 107, Grand Rapids, MI 49525-7004 | |
| Gary D Poelman | General Practice | Vpa PC | 3355 Eagle Park Dr Ne, Suite 103, Grand Rapids, MI 49525-7004 |
| Danielle Friar | Nurse Practitioner | Vpa PC | 3355 Eagle Park Dr Ne, Suite 103, Grand Rapids, MI 49525-7004 |
| Amanda M Huver | Internal Medicine | Vpa PC | 3355 Eagle Park Dr Ne, Suite 103, Grand Rapids, MI 49525-7004 |
| Daniel Thomas Carrel | General Practice | Vpa PC | 3355 Eagle Park Dr Ne, Suite 103, Grand Rapids, MI 49525-7004 |
| Joseph G Witte | Physical Therapy | 3355 Eagle Park Dr Ne, Suite 107, Grand Rapids, MI 49525-7004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen A Jacobs | Qualified Audiologist | Audio Vestibular Assessment, Inc | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 |
| Carol A Byrne | Qualified Audiologist | Audio Vestibular Assessment, Inc | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 |
| Amy L Buchanan | Optometry | Rx Optical Laboratories, Inc. | 5429 Northland Dr, Grand Rapids, MI 49525-1032 |
| Anthony W Danko | Optometry | Rx Optical Laboratories, Inc. | 5429 Northland Dr, Grand Rapids, MI 49525-1032 |
| Richard W Rozelle | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 |
| William R Decker | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ne, Grand Rapids, MI 49525-1048 |
| Patrick J Meyer | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 |
| Patrick G Holser | Optometry | 5378 Plainfield Ave Ne A, Grand Rapids, MI 49525-1053 | |
| Miranda Schmitt | Chiropractic | 5300 Northland Dr Ne F, Growing Family Chiropractic, Grand Rapids, MI 49525-1058 | |
| David Joseph Schwarz | Physical Therapy | Dynamic Movement and Recovery | 4950 Plainfield Ave Ne, Suite A, Grand Rapids, MI 49525-1059 |
| Find all physicians in zip 49525 | |||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRAND RAPIDS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffery J Libra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.