Creston Medical Service, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301029675 Issued in MI

Legal business name

CRESTON MEDICAL SERVICE, PC

Practice address

1330 Plainfield Ave NE
Grand Rapids, MI 49505-5091

Phone

(616) 776-1275

Fax

(616) 776-3713

NPI assigned

Apr 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Peter Beardslee App, MD

Title

President

Phone

(616) 776-1275

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1043653082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495010264",
            "telephone_number": "616-776-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055091",
            "telephone_number": "616-776-1275",
            "fax_number": "616-776-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTON MEDICAL SERVICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "APP",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "BEARDSLEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-776-1275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301029675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefano Crescentini, MD
• Jessica Crespo
• Scott Cressman, M.D.
• Cresswell Counseling
• Creston Medical Center, PLLC
• Naomi Cret, MD
• Douglas Gary Crew, D.O.
• Samantha Jo Crider, PT
• George A Cripps, D.D.S.
• Katrina Joyce Cripps

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, 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 Apr 9, 2013; 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.