John W Hamersma, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301074575 Issued in MI

Practice address

2093 Health Dr SW
Ste 200
Wyoming, MI 49519

Phone

(616) 459-3158

Fax

(616) 819-2222

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Michigan State University College of Human Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Valley Medical Specialists PLCGroup PAC ID 1254311947, 19 clinicians

Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians

Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Free Bed at Home, LLC Home health agency, Grand Rapids, MI, CCN 237203
• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
• University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236
• Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059
• Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339
• Corewell Health Zeeland Hospital Hospital, Zeeland, MI, CCN 230003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnhamersma@gvmsplc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand Valley Medical Specialists PLC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1033226402

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Center for Physical Rehabilitation and Therapy LP

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1902288863
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mary Free Bed at Home, LLC

  • Home Health Agency
  • Grand Rapids, MI
  • NPI 1023477478
  Care Compare affiliation
• Metropolitan Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919
  Care Compare affiliation
• Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation
• Saint Mary'S Health Services

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1639111057
  Care Compare affiliation
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  Care Compare affiliation
• Zeeland Community Hospital

  • General Acute Care Hospital
  • Zeeland, MI
  • NPI 1275536344
  Care Compare affiliation

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1033108329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WEALTHY ST SE STE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062969",
            "telephone_number": "616-459-3158",
            "fax_number": "616-988-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HEALTH DR SW",
            "address_2": "STE 200",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49519",
            "telephone_number": "616-459-3158",
            "fax_number": "616-819-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMERSMA",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4949420",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Wayne Hall, AGACNP-BC, FNP-BC
• Audrie Ann Haller I
• Halliday Health Solutions, L.L.C.
• Michael Richard Halliday, DC
• Ryan Daniel Hamby, DO
• Matthew James Hammond, LMSW
• Ryan Hanberry
• Charles David Hanf, M.D.
• Chloe Hanifan, PA-C
• Marin Hann, LPC

• Family Medicine Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.