Active NPI
Messer Orthopedics LLC
- Prosthetic/Orthotic Supplier
- Grand Rapids, MI
National Provider Identifier
1205059615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- CO003326
- Legal business name
- MESSER ORTHOPEDICS LLC
- Practice address
- 4955 E Beltline Ave NE
Suite C
Grand Rapids, MI 49525-1097 - Phone
- (616) 447-9000
- Fax
- (616) 447-9001
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bill J Messer, CO
- Title
- Manager
- Phone
- (616) 447-9000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | CO003326 | Primary |
Addresses
Primary practice location
4955 E Beltline Ave NE
Suite C
Grand Rapids, MI 49525-1097
Mailing address
4955 E Beltline Dr NE
Suite C
Grand Rapids, MI 49525-1097
Phone (616) 447-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205059615 | Medicaid | MI | |
| 51-0-D1-1577-0 | Other | MI | BCBSM |
National Provider Directory
National Provider DirectoryLocations
4955 E Beltline Ave NE
Ste C
Grand Rapids, MI 49525
Phone (616) 447-9000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Grand Rapids, MI
- NPI 1275615767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212710400000",
"number": "1205059615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 E BELTLINE DR NE",
"address_2": "SUITE C",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495251097",
"telephone_number": "616-447-9000",
"fax_number": "616-447-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 E BELTLINE AVE NE",
"address_2": "SUITE C",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495251097",
"telephone_number": "616-447-9000",
"fax_number": "616-447-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESSER ORTHOPEDICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2008-06-06",
"status": "A",
"authorized_official_last_name": "MESSER",
"authorized_official_first_name": "BILL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "616-447-9000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": "CO003326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205059615",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "51-0-D1-1577-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.