Renal and Hypertension Specialists, PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301068403 Issued in MI

Legal business name

RENAL AND HYPERTENSION SPECIALISTS, PLLC

Practice address

4024 Park East CT SE
Suite C
Grand Rapids, MI 49546-8810

Phone

(616) 516-2192

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Andrew J KrutulNPI 1841387529

Title

President

Phone

(616) 516-2192

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew J Krutul, MD

  • Nephrology Physician
  • Lafayette, IN
  • NPI 1841387529
  NPD (past) Authorized official

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1174898522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 E MEADOWS CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 PARK EAST CT SE",
            "address_2": "SUITE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468810",
            "telephone_number": "616-516-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL AND HYPERTENSION SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "KRUTUL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-516-2192"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301068403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarae Rembert
• Geoffrey M. Remes, M.D.
• Leah Remijn, PA-C
• Lynda Remus
• Rheadon Remy, PA-C
• Renal Associates of West Michigan PC
• Erin Renbarger
• Kristy Michelle Rencher, M.ED.
• Renew Counseling Center
• Renewed Counseling Services

• Nephrology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.