Advantage Health Saint Mary'S Medical Group
Organization Active NPI Orthopaedic Surgery Physician · Byron Center, MI
NPI 1003515008 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1003515008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
- Practice address
- 2373 64TH St SW Ste 2700
Byron Center, MI 49315-7978 - Phone
- (616) 465-5910
- Fax
- (616) 465-5911
- NPI assigned
- Feb 28, 2023
- Organization subpart
- No
Authorized official
- Name
- Daniel Green
- Title
- VP Finance
- Phone
- (616) 685-6709
Other NPIs on the same Medicare enrollment 6
Practitioners 884
-
Eyad Abu-Isa, MD
-
Laura Ackerman, CFNP
-
Miriam Adrianson, MD
-
Brett Applebach, PA-C
-
Martin Aramburu, M.D.
-
Steven Ashmead, MD
-
Sreevalli Attili, MD
-
Alison Aubry, NP
-
Michelle Katherine Aue, PA-C
-
Erica Ann Austin, DO
-
Anita R Avery, MD
-
Maha Ayashi, MD
-
Jana Rene Baatenburg, M.D.
-
Colin David Bachinski, LMSW
-
Jacob John Baker, MD, PHD
-
Randal Baker, MD
-
Jody Banister, MD
-
Paige Kristine Barber, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101023000279 | MI | Part B Supplier - Clinic/Group Practice | 4082807961 |
Receives reassigned benefits from 897 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grand Rapids, MI; Grandville, MI; Hudsonville, MI; Jenison, MI; Kentwood, MI; Rockford, MI; Sparta, MI; Walker, MI… |
National Provider Directory
Locations
2374 64TH St SW
Ste 2700
Byron Center, MI 49315
Phone (616) 465-5910
2374 64TH St SW
Ste 2700
Byron Center, MI 49315
2144 East Paris Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 685-2100
801 Broadway Ave NW
Ste 105
Grand Rapids, MI 49504
Phone (616) 685-7500
245 Cherry St SE
Ste 100
Grand Rapids, MI 49503
Phone (616) 685-3200
245 Cherry St SE
Ste 204
Grand Rapids, MI 49503
Phone (616) 685-3330
1246 Madison Ave SE
Grand Rapids, MI 49507
Phone (616) 685-8300
310 Lafayette Ave SE
Ste 415
Grand Rapids, MI 49503
Phone (616) 685-5666
309 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-8500
250 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5600
150 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-8450
3925 32nd Ave
Ste 500
Hudsonville, MI 49426
Phone (616) 685-1530
6050 Northland Dr NE
Ste 1159
Rockford, MI 49341
Phone (616) 685-7961
1175 Wilson Ave NW
Walker, MI 49534
Phone (616) 284-3686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2373 64TH St SW Ste 2700
Byron Center, MI 49315-7978
Mailing address
PO Box 776974
Chicago, IL 60677-6974
Phone (800) 494-5797
Other names
- Trinity Health Medical Group Orthopedics Grand Rapids
Other providers in Byron Center, MI
- Stephen J Albrecht
- Sarah Martha Altvater
- Amplified Life Network, LLC
- Angela R Andrews
- Kelsey Andringa
All providers in Byron Center, MI · Orthopaedic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.