Active NPI
James Fuson, MD
- Gastroenterology Physician
- Grand Rapids, MI
National Provider Identifier
1255388104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301034040
- Practice address
- 4100 Lake Dr SE
S-205
Grand Rapids, MI 49546-8292 - Phone
- (616) 774-2414
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301034040 | MI | Primary |
Addresses
Primary practice location
4100 Lake Dr SE
S-205
Grand Rapids, MI 49546-8292
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301034040 | MI | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1255388104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC 845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE DR SE",
"address_2": "S-205",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468292",
"telephone_number": "616-774-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSON",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301034040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
- Chadwick A Furness, MD
- Jamie E. Furness, MD
- Lance Furusawa-Stratton, MD
- Brianna Lee Furze, LLPC, CRC. LMT
- Kyleigh Linn Fusee, PA-C
- G & H Enterprises, LLC (Vendors Of Hope)
- G R Therapy Services Inc.
- G. C. Meyer, Inc. (Pediatric Orthotic Specialists)
- Lillian Lou Gaastra, PA-S
- Marylynn Joanna Gaastra, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.