Neal Duane Uitvlugt, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

4301058911 Issued in MI

Practice address

330 Barclay Ave NE
Suite 202
Grand Rapids, MI 49503-2556

Phone

(616) 458-1722

Fax

(616) 458-0061

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326197476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BARCLAY AVE NE",
            "address_2": "SUITE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032556",
            "telephone_number": "616-458-1722",
            "fax_number": "616-458-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BARCLAY AVE NE",
            "address_2": "SUITE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032556",
            "telephone_number": "616-458-1722",
            "fax_number": "616-458-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UITVLUGT",
        "first_name": "NEAL",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MI",
            "license": "4301058911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3055960",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael P Uhlig, PA-C
• Elizabeth Uhlmann, COTA/L
• Drew Margaret Uhlmeyer, DPT
• David Uitdeflesch, MA, LLP
• Anna Maria Uitvlugt, MD
• Leslie Anne Ulanski, PA-C
• Nancy Ann Ullrey, R.D.
• Brian Charles Ulrich, LPC
• Sharla Marie Ulstad, MD
• Bethany Umar Umar

• Pediatric Surgery Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pediatric Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.