NPIMap

Organization Active NPI

East Paris Internal Medicine Associates P.C

  • Internal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1083704233
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST PARIS INTERNAL MEDICINE ASSOCIATES P.C
Practice address
1000 East Paris Ave. SE
Ste 260
Grand Rapids, MI 49546-8313
Phone
(616) 957-9237
Fax
(616) 957-1013
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Ms. Maureen A. Baskel
Title
Practice Administrator
Phone
(616) 954-9260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1000 East Paris Ave. SE
Ste 260
Grand Rapids, MI 49546-8313

Mailing address

1000 East Paris Ave SE
Ste 260
Grand Rapids, MI 49546
Phone (616) 957-9237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050113000251 MI Part B Supplier - Clinic/Group Practice 9537118914 Receives reassigned benefits from 12 practitioners
Practice locations: Grand Rapids, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0380864East Paris Internal Medicine Associates, P C1000 E Paris Ave SE Suite 260, Grand Rapids, MI 49546Provider-performed microscopyMay 15, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1083704233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST PARIS AVE SE",
            "address_2": "STE 260",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-957-9237",
            "fax_number": "616-957-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST PARIS AVE. SE",
            "address_2": "STE 260",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468313",
            "telephone_number": "616-957-9237",
            "fax_number": "616-957-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PARIS INTERNAL MEDICINE ASSOCIATES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "BASKEL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "616-954-9260",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.