John a Mulder, MD PC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

4301043859 Issued in MI

Legal business name

JOHN A MULDER, MD PC

Practice address

600 Broadway Ave NW
#423
Grand Rapids, MI 49504-7305

Phone

(616) 451-4593

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

John Mulder, MD

Title

President

Phone

(616) 451-4593

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Hansma

  • Case Manager/Care Coordinator
  • Coopersville, MI
  • NPI 1881133221
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1063690840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY AVE NW",
            "address_2": "#423",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495047305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY AVE NW",
            "address_2": "#423",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495047305",
            "telephone_number": "616-451-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A MULDER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-451-4593",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301043859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brad A Johanson, DPT
• Jacqueline S Johanson, P.A.-C
• John J Stepanovich DDS
• John King Professional Counseling, PLLC
• John P Lagrand M D P C
• John R Vydareny MD PC
• Lillian John, OTR/L

• Hospice and Palliative Medicine (Family Medicine) Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.