NPIMap

Organization Active NPI

Ambulatory United

  • Gynecology Physician
  • Greenville, MI
National Provider Identifier
1104931492
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
AMBULATORY UNITED
Practice address
1202 W Oak St
Greenville, MI 48838-2155
Phone
(616) 754-2944
NPI assigned
Aug 20, 2006
Last updated
May 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Mr. Brian Brasser
Title
Ceo
Phone
(616) 754-4691

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X

Addresses

Primary practice location

1202 W Oak St
Greenville, MI 48838-2155

Mailing address

PO Box 2566
Grand Rapids, MI 49501-2566
Phone (231) 832-8555

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Spectrum Health United

    dba Corewell Health Greenville Hospital Multispecialty Center - 707 S Gree

    • Rural Health Clinic/Center
    • Greenville, MI
    • NPI 1477927184

    Member Of

    NPD member

Locations

231331 Momentum Pl
Chicago, IL 60689

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1104931492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2566",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495012566",
            "telephone_number": "231-832-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W OAK ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382155",
            "telephone_number": "616-754-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY UNITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "BRASSER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-754-4691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.