Active NPI
Laura J Zuidema, MD
- Maternal & Fetal Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1336101260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 4301041824
- Practice address
- 25 Michigan St NE
Suite 5200
Grand Rapids, MI 49503-2515 - Phone
- (616) 391-3681
- Fax
- (616) 391-8670
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 4301041824 | MI | Primary |
Addresses
Primary practice location
25 Michigan St NE
Suite 5200
Grand Rapids, MI 49503-2515
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982467 | Medicaid | MI | |
| 1558407189 | Other | MI | GROUP NPI |
| 1922090554 | Other | MI | GROUP NPI |
| 160D162280 | Other | MI | BCBS GROUP |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1336101260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC 845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560",
"telephone_number": "616-486-6790",
"fax_number": "616-486-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MICHIGAN ST NE",
"address_2": "SUITE 5200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032515",
"telephone_number": "616-391-3681",
"fax_number": "616-391-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUIDEMA",
"first_name": "LAURA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MI",
"license": "4301041824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982467",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1558407189",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1922090554",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "160D162280",
"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 Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.