Active NPI
Alice Schlaepfer, MD
- Family Medicine Physician
- Grandville, MI
National Provider Identifier
1043266406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301059895
- Practice address
- 3380 44TH St SW
Grandville, MI 49418-2461 - Phone
- (616) 685-8250
- Fax
- (616) 532-3564
- NPI assigned
- May 26, 2006
- Last updated
- Jun 30, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301059895 | MI | Primary |
Addresses
Primary practice location
3380 44TH St SW
Grandville, MI 49418-2461
Mailing address
245 State St SE
Grand Rapids, MI 49503-4328
Phone (616) 685-1808
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3415831 | Medicaid | MI | |
| 4555022 | Medicaid | MI | |
| 4877269 | Medicaid | MI | |
| 3489067 | Medicaid | MI | |
| 4194163 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059895 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Rest Christian Mental Health Services | Past | Accepting new patients | |
| Advantage Health Physicians PC | Family Medicine | Past | Accepting new patients |
| Saint Mary's Health Services | Past | Accepting new patients | |
| Trinity Health - Michigan | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1386695252
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
dba Heartside Health Clinic
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1902002272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1043266406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 STATE ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034328",
"telephone_number": "616-685-1808",
"fax_number": "616-685-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 44TH ST SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182461",
"telephone_number": "616-685-8250",
"fax_number": "616-532-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLAEPFER",
"first_name": "ALICE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301059895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3415831",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4555022",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4877269",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3489067",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4194163",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.