Joseph Paul Van Ark, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301406591 Issued in MI

Practice address

11615 Hartel Rd
Ste 108
Grand Ledge, MI 48837-9165

Phone

(517) 627-3281

Fax

(517) 627-8722

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: josephvanark@ccmedc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid-Michigan Family Medical Center, P.C.

  • Family Medicine Physician
  • Grand Ledge, MI
  • NPI 1497793863
  NPD (past) Authorized official
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow

  • Adult Health Nurse Practitioner
  • Lansing, MI
  • NPI 1265220438

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1104821438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 HARTEL RD",
            "address_2": "STE 108",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379165",
            "telephone_number": "517-627-3281",
            "fax_number": "517-627-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 HARTEL RD",
            "address_2": "STE 108",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379165",
            "telephone_number": "517-627-3281",
            "fax_number": "517-627-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ARK",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301406591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "01-00164",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "5706661",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "080B37601",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2683874",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Mary Todd, LLMSW
• Patrick Anthony Townshend
• Beth Trefil, PMHNP-BC
• Edward Patrick Troshak, D.D.S.
• Christy Lee Tunney, FNP
• Taylor Rene Van Horn, D.C.
• Janet Sterk Van Wieren X
• Dawne Marie Velianoff, LMSW
• James Anthony Voltattorni, DDS
• Walgreen Co (Walgreens #13150)

• Family Medicine Physician in Grand Ledge, MI
• Providers in Grand Ledge, 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 Jun 4, 2012; 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.