NPIMap

Organization Active NPI

Michigan Medical Patient Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Grandville, MI
National Provider Identifier
1093040552
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
MICHIGAN MEDICAL PATIENT CARE
Practice address
141 Port Sheldon Rd SW
Grandville, MI 49418-2149
Phone
(616) 457-3050
NPI assigned
Oct 16, 2009
Organization subpart
Yes
Parent organization
MICHIGAN MEDICAL PATIENT CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Scott Harring
Title
C.F.O
Phone
(616) 974-4436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

141 Port Sheldon Rd SW
Grandville, MI 49418-2149

Mailing address

4085 Burton St SE
Suite 200
Grand Rapids, MI 49546-2444
Phone (616) 974-4466

National Provider Directory

National Provider Directory
Tax ID family
Michigan Med Spec PC70 organizations share this tax ID, including this one
Part of
Michigan Med Spec PC

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1093040552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 BURTON ST SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462444",
            "telephone_number": "616-974-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PORT SHELDON RD SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182149",
            "telephone_number": "616-457-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MEDICAL PATIENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN MEDICAL PATIENT CARE",
        "enumeration_date": "2009-10-16",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "HARRING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "C.F.O",
        "authorized_official_telephone_number": "616-974-4436"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 2, 2010; 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.