Saint Mary'S Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4704235109 Issued in MI

Legal business name

SAINT MARY'S HOSPITAL

Practice address

200 Jefferson Lacks Cancer Center
Grand Rapids, MI 49503

Phone

(616) 752-5828

NPI assigned

Aug 14, 2007

Organization subpart

No

Name

Ms. Laura Lynn Gelderloos, RN, CFNP

Title

Nurse Practitioner

Phone

(616) 485-2792

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2007.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1184816183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7477 CROOKED CREEK DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158136",
            "telephone_number": "616-485-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON LACKS CANCER CENTER",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-752-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "GELDERLOOS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "616-485-2792",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CFNP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4704235109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Mary'S Health Services
• Saint Mary'S Health Services
• Saint Mary'S Health Services
• Saint Mary'S Health Services
• Saint Mary'S Health Services
• Saint Mary'S Hospital
• Saint Marys Family Pharmacy
• Saint Marys Family Pharmacy-Wege Center
• Saint Marys Home Infusion Program
• Keerthi Kiran Sajja, DO

• All providers in Grand Rapids, MI
• General Acute Care Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.