Advantage Health Saint Mary's Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP

Doing business as

Trinity Health Medical Group Orthopedics Grand Rapids

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

Last updated

Oct 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Green

Title

VP Finance

Phone

(616) 685-6709

Specialties & licenses 3

Addresses

Other names 1

• Trinity Health Medical Group Orthopedics Grand Rapids Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advantage Health Saint Mary's Medical Group

  • Urgent Care Clinic/Center
  • Rockford, MI
  • NPI 1083014914

  O20101023000279

  Same enrollment
• Advantage Health Saint Mary's Medical Group

  dba Trinity Health Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1952340911

  O20101023000279

  Same enrollment
• Advantage Health/Saint Mary's Medical Group

  dba Trinity Health Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1376862151

  O20101023000279

  Same enrollment
• Advantage Health/Saint Mary's Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1457863565

  O20101023000279

  Same enrollment
• Advantage Health/Saint Mary's Medical Group

  dba Saint Mary's Urgent Care Plus

  • Urgent Care Clinic/Center
  • Hudsonville, MI
  • NPI 1538430533

  O20101023000279

  Same enrollment
• Advantage Health/Saint Mary's Medical Group

  • Clinic/Center
  • Sparta, MI
  • NPI 1760599906

  O20101023000279

  Same enrollment

Locations

Practitioners 884

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eyad Abu-Isa, MD

  • Radiation Oncology Physician
  • Brighton, MI
  • NPI 1396861936
  NPD
• Laura Ackerman, CFNP

  • Family Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1063449585
  NPD
• Miriam Adrianson, MD

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1700441300
  NPD
• William Michael Ahrens, MD

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1417994088
  NPD
• Aileen Elizabeth M Ampil Antonio, M.D.

  • Neurology Physician
  • Grand Rapids, MI
  • NPI 1982991683
  NPD
• Brett Applebach, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1225428147
  NPD
• Martin Aramburu, M.D.

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1063831634
  NPD
• Theodor Asgeirsson, MD

  • Colon & Rectal Surgery Physician
  • Greenville, MI
  • NPI 1255480067
  NPD
• Steven Ashmead, MD

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1710931704
  NPD
• Sreevalli Attili, MD

  • Family Medicine Physician
  • Brooklyn, MI
  • NPI 1518193259
  NPD
• Maram Attiq

  • Anesthesiology Physician
  • Detroit, MI
  • NPI 1790104792
  NPD
• Alison Aubry, NP

  • Gerontology Nurse Practitioner
  • Byron Center, MI
  • NPI 1538536966
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1003515008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776974",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776974",
            "telephone_number": "800-494-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 64TH ST SW STE 2700",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157978",
            "telephone_number": "616-465-5910",
            "fax_number": "616-465-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "616-685-6709"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Health Medical Group Orthopedics Grand Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen J Albrecht, PHD
• Sarah Martha Altvater, LLMSW
• Amplified Life Network, LLC (Amplified Life)
• Angela R Andrews, MD
• Kelsey Andringa, DPT

• Orthopaedic Surgery Physician in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.