Lois Anne O'Rourke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601002679 Issued in MI

Practice address

973 Ottawa Ave NW
Grand Rapids, MI 49503-1431

Phone

(616) 391-7752

Fax

(616) 391-7733

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043327992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 OTTAWA AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031431",
            "telephone_number": "616-391-7752",
            "fax_number": "616-391-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 OTTAWA AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031431",
            "telephone_number": "616-391-7752",
            "fax_number": "616-391-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "LOIS",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylee O'Neill, LLMSW
• Gail Ann O'Rourke, M.A., CCC-SLP
• Isaac David O'Rourke
• Karen Ann O'Rourke, DDS
• Katherine Mary O'Rourke, MD
• Micaela Kathryn O'Rourke, PA-C
• Ryan O'Rourke
• Timothy J O'Rourke, M.D.
• Karen Georgianna O'Strander, LMSW
• Chloe Jane O'Toole

• Physician Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.