Grand River Cardiology, PLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

GRAND RIVER CARDIOLOGY, PLC

Practice address

1000 E Paris Ave SE
Ste 200
Grand Rapids, MI 49546-3691

Phone

(616) 949-8554

Fax

(616) 949-7027

NPI assigned

Nov 3, 2005

Last updated

May 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stanley A Mills

Title

Executive Director

Phone

(616) 949-8554

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Roger Anthony Shammas, M.D.

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
  • NPI 1346235595
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1275524720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463691",
            "telephone_number": "616-949-8554",
            "fax_number": "616-949-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463691",
            "telephone_number": "616-949-8554",
            "fax_number": "616-949-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIVER CARDIOLOGY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-949-8554"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RRR",
            "identifier": "C20434",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Rapids Wellness, PC
• Grand Rapids Womens Health PC
• Grand Ridge Family Dentistry
• Grand Ridge Family Dentistry
• Grand River Bands of Ottawa Indians Inc.
• Grand River Emergency Medical Group PLC
• Grand River Endoscopy Center, L.L.C.
• Grand River Gastroenterology PC
• Grand River Mobility LLC (Next Day Access of Grand Rapids and Lansing)
• Grand River Rehabilitation LLC

• Cardiovascular Disease Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.