Active NPI
Gerald M Lunsford, CO
- Orthotist
- Grand Haven, MI
National Provider Identifier
1285960211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO2816
- Practice address
- 1309 Sheldon Rd
Orthotics Department
Grand Haven, MI 49417-2404 - Phone
- (616) 847-5365
- Fax
- (616) 847-5294
- NPI assigned
- Oct 27, 2009
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO2816 | IL | Primary |
Addresses
Primary practice location
1309 Sheldon Rd
Orthotics Department
Grand Haven, MI 49417-2404
Mailing address
1309 Sheldon Rd
Orthotics Department
Grand Haven, MI 49417-2404
Phone (616) 847-5365
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO2816 | IL | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1285960211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 SHELDON RD",
"address_2": "ORTHOTICS DEPARTMENT",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172404",
"telephone_number": "616-847-5365",
"fax_number": "616-847-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 SHELDON RD",
"address_2": "ORTHOTICS DEPARTMENT",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172404",
"telephone_number": "616-847-5365",
"fax_number": "616-847-5294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNSFORD",
"first_name": "GERALD",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "IL",
"license": "CO2816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.