Edwin F. Kremer, PH.D. PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801089574 Issued in MI

Legal business name

EDWIN F. KREMER, PH.D. PC

Practice address

750 Front Ave NW
Suite 311
Grand Rapids, MI 49504-4400

Phone

(616) 459-8971

Fax

(616) 459-2361

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Stacey Sue Reidzans

Title

Office Manager

Phone

(616) 459-8971

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1275938805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FRONT STREET NW",
            "address_2": "SUITE 311",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49504",
            "telephone_number": "616-459-8971",
            "fax_number": "616-459-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FRONT AVE NW",
            "address_2": "SUITE 311",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044400",
            "telephone_number": "616-459-8971",
            "fax_number": "616-459-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN F. KREMER, PH.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "REIDZANS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-459-8971"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801089574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Edwards, RDN
• Taniesha Edwards
• Tiffany Edwards
• William Howard Edwards V, LMSW
• Hanna Edwardson, B.S.
• Michael Eerhart, MD
• Selena Efting
• Celia Marie Vihtelic Egan, M.D.
• John Patrick Egan III, M.D.
• Michael Angelo Egan I, LMSW

• All providers in Grand Rapids, MI
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.