Active NPI
West Michigan Medical Associates Inc.
- Internal Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1326199498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WEST MICHIGAN MEDICAL ASSOCIATES INC.
- Practice address
- 3755 Remembrance Rd NW
Ste 1
Grand Rapids, MI 49534-7745 - Phone
- (616) 453-4403
- Fax
- (616) 453-2815
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald J Hardman, MD
- Title
- Owner
- Phone
- (616) 453-4403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3755 Remembrance Rd NW
Ste 1
Grand Rapids, MI 49534-7745
Mailing address
3755 Remembrance Rd NW
Ste 1
Grand Rapids, MI 49534-7745
Phone (616) 453-4403
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000053794 D | Other | MI | HUMANA |
| 700D110750 | Other | MI | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
3755 Remembrance Rd NW
Ste 1
Grand Rapids, MI 49534
Phone (616) 453-4403
3755 Remembrance Rd NW
Walker, MI 49534
Phone (616) 453-4403
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Coopersville, MI
- NPI 1073904983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471564800000",
"number": "1326199498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 REMEMBRANCE RD NW",
"address_2": "STE 1",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495347745",
"telephone_number": "616-453-4403",
"fax_number": "616-453-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 REMEMBRANCE RD NW",
"address_2": "STE 1",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495347745",
"telephone_number": "616-453-4403",
"fax_number": "616-453-2815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST MICHIGAN MEDICAL ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2016-08-19",
"status": "A",
"authorized_official_last_name": "HARDMAN",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-453-4403",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000053794 D",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "700D110750",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.