Greater Grand Rapids Pulmonary and Critical Care Specialists PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

5101013369 Issued in MI

Legal business name

GREATER GRAND RAPIDS PULMONARY AND CRITICAL CARE SPECIALISTS PC

Practice address

2093 Health Dr SW
#301
Wyoming, MI 49519-9691

Phone

(616) 241-3500

Fax

(616) 241-4396

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Beth M Weersma

Title

Office Manager

Phone

(616) 241-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Suzanne J Timmer, MD

  • General Practice Physician
  • Cleveland, OH
  • NPI 1558301648

  Pulmonary Disease

  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1114094349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 HEALTH DR SW",
            "address_2": "#301",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49519",
            "telephone_number": "616-241-3500",
            "fax_number": "616-241-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HEALTH DR SW",
            "address_2": "#301",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199691",
            "telephone_number": "616-241-3500",
            "fax_number": "616-241-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER GRAND RAPIDS PULMONARY AND CRITICAL CARE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "WEERSMA",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-241-3500"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5101013369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4540244",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grandville Dental Health Center PC
• Great Lakes Healthcare Resources-Lakeshore LLC
• Great Lakes Healthcare Resources, LLC
• Great Lakes Home Modification LLC
• Great Lakes Injury Recovery
• Joel Allan Green, MD
• Gregory L. Cammell, M.D.,PLC
• Mary Beth Grey, DO
• Wylea Angelique Griggs, LPC
• Brandi Grimmer, CNC

• Pulmonary Disease Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.