NPIMap

Organization Active NPI

Aspirus Grand View Service Corporation

Doing business as Aspirus Grand View Clinic

  • Family Medicine Physician
  • Ironwood, MI
National Provider Identifier
1093992992
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASPIRUS GRAND VIEW SERVICE CORPORATION
Doing business as
Aspirus Grand View Clinic
Practice address
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone
(906) 932-2525
Fax
(906) 932-2290
NPI assigned
Jan 23, 2008
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ASPIRUS GRAND VIEWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Mrs. Charmaine Chiantello
Title
Cfo
Phone
(906) 932-2525

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Primary Care Nurse Practitioner 363LP2300X
Family Medicine Physician 207Q00000X Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X
Podiatrist 213E00000X

Addresses

Primary practice location

N10561 Grandview LN
Ironwood, MI 49938-9622

Mailing address

N10565 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-1500

Other identifiers 3

IdentifierTypeStateIssuer
02W43GROtherMNBCBS MN
32849900MedicaidWI
700B710030OtherMIBCBS OF MI

Other names 1

  • Aspirus Grand View Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aspirus Grand View4 organizations share this tax ID, including this one
Part of
Grand View Corporation Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1093992992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N10565 GRANDVIEW LN",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389622",
            "telephone_number": "906-932-1500",
            "fax_number": "906-932-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10561 GRANDVIEW LN",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389622",
            "telephone_number": "906-932-2525",
            "fax_number": "906-932-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS GRAND VIEW SERVICE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPIRUS GRAND VIEW",
        "enumeration_date": "2008-01-23",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "CHIANTELLO",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "906-932-2525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "02W43GR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32849900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "700B710030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Grand View Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ironwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.