NPIMap

Organization Active NPI

Michigan Medical, PC.

Doing business as Hamilton Family Medicine

  • Durable Medical Equipment & Medical Supplies
  • Hamilton, MI
National Provider Identifier
1295899110
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MICHIGAN MEDICAL, PC.
Doing business as
Hamilton Family Medicine
Practice address
3362 Lincoln Rd. M40
Hamilton, MI 49419
Phone
(269) 751-5189
NPI assigned
Dec 22, 2006
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHIGAN MEDICAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Daniel Grevengoed
Title
VP of Finance and Reimbursement
Phone
(616) 974-4889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3362 Lincoln Rd. M40
Hamilton, MI 49419

Mailing address

4085 Burton St SE
Ste. 200
Grand Rapids, MI 49546-2444
Phone (616) 974-4889

Other names 1

  • Hamilton Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michigan Med Spec PC70 organizations share this tax ID, including this one
Part of
Michigan Med Spec PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1295899110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 BURTON ST SE",
            "address_2": "STE. 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462444",
            "telephone_number": "616-974-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 LINCOLN RD. M40",
            "city": "HAMILTON",
            "state": "MI",
            "postal_code": "49419",
            "telephone_number": "269-751-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MEDICAL, PC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN MEDICAL PC",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "GREVENGOED",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP OF FINANCE AND REIMBURSEMENT",
        "authorized_official_telephone_number": "616-974-4889"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.