Norbert Paul Gerondale, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301405952 Issued in MI

Practice address

17210 Van Wagoner Rd
Spring Lake, MI 49456-9702

Phone

(616) 604-6040

Fax

(616) 604-6046

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ngeronda@yourcarecommunity.org

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235152158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 W MCMILLAN RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494459638",
            "telephone_number": "231-766-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17210 VAN WAGONER RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569702",
            "telephone_number": "616-604-6040",
            "fax_number": "616-604-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONDALE",
        "first_name": "NORBERT",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301405952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose French
• Mackenzie Fricke, LMSW
• John E. Garrison, D.D.S.
• Cori J Geoghan, DPT
• Andrew Gerlach, PT, DPT
• Jacob Rockwell Giddings, HEARING SPECIALIST
• David Michael Giroux
• Gleason Chiropractic Center
• Daniel Clarence Gleason, D.C.
• Graces House LLC

• Internal Medicine Physician in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.