Active NPI
Jeffrey D. Postlewaite, DO
- Obstetrics & Gynecology Physician
- Wyoming, MI
National Provider Identifier
1043219561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101009306
- Practice address
- 781 36TH St SE
Wyoming, MI 49548-2319 - Phone
- (616) 252-4100
- Fax
- (616) 252-4953
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101009306 | MI | Primary |
Addresses
Primary practice location
781 36TH St SE
Wyoming, MI 49548-2319
Mailing address
5900 Byron Center Ave SW
Medical Administration
Wyoming, MI 49519-9606
Phone (616) 252-3243
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04522934 | Other | IL | BLUE CROSS BLUE SHIELD GROUP NUMBER |
| 036074396 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey D Postlewaite,Dosc | Obstetrics & Gynecology | Past | Accepting new patients |
| Janeta Dimante M.D.S.C. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- St Charles, IL
- NPI 1194743807
-
- Obstetrics & Gynecology Physician
- Geneva, IL
- NPI 1871822445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1043219561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"address_2": "MEDICAL ADMINISTRATION",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606",
"telephone_number": "616-252-3243",
"fax_number": "616-252-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 36TH ST SE",
"city": "WYOMING",
"state": "MI",
"postal_code": "495482319",
"telephone_number": "616-252-4100",
"fax_number": "616-252-4953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSTLEWAITE",
"first_name": "JEFFREY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101009306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD GROUP NUMBER",
"identifier": "04522934",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036074396",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.