Sport and Injury Clinics

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

SPORT AND INJURY CLINICS

Practice address

1116 Covell Ave NW
Grand Rapids, MI 49504-3816

Phone

(616) 676-6939

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Adam James Geller, PHYSICIAN ASSISTANTNPI 1285633172

Title

Owner

Phone

(616) 676-6939

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Adam J Geller, PAC

  • Physician Assistant
  • Muskegon, MI
  • NPI 1285633172
  NPD Authorized official

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1225728736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 COVELL AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043816",
            "telephone_number": "616-676-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 COVELL AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043816",
            "telephone_number": "616-676-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT AND INJURY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-676-6939",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Spohn
• Ysabel Sophia Spohn
• Mark Spoolstra, MD
• Lauren Elizabeth Spoon, PSY.D.
• Deborah Denise Spoors, MA
• Danielle Sporte, RD
• Rachel Sportel, NP
• James Anthony Spoto, DO
• Janis Spotts, RN
• Theresa A Sprader

• Emergency Care Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Emergency Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.