Individual provider Active NPI

Jeremy Way, M.D.

  • Anesthesiology Physician
  • Grand Rapids, MI
National Provider Identifier
1346636875
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301117286 Issued in MI
Practice address
100 Michigan St NE
Grand Rapids, MI 49503
Phone
(616) 364-4200
Fax
(616) 364-7347
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301117286 MI Primary

Addresses

Primary practice location

100 Michigan St NE
Grand Rapids, MI 49503

Mailing address

3333 Evergreen Dr NE Ste 100
Grand Rapids, MI 49525-9493
Phone (616) 364-4200

Other practice location 1

6431 Fannin St
Suite MSB 5.196
Houston, TX 77030-5389
Phone (713) 500-6223

Other practice location 2

6431 Fannin St
Suite MSB 5.196
Houston, TX 77030-5389
Phone (713) 500-6223

Other practice location 3

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-2000 ext. 32400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190717000966 MI Practitioner - Anesthesiology 0547595258 Reassigns benefits to 1 organization
I20250312001226 IN Practitioner - Anesthesiology 0547595258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Mary'S Health ServicesGroup PAC ID 4981500436, 175 clinicians

Practice addresses (Care Compare)

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary'S Health Services Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Jan 27, 2025 Accepting new patients
Cameron Memorial Community Hospital, Inc Anesthesiology CurrentSince Jan 27, 2025 Accepting new patients
West Michigan Anesthesia, PC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Anesthesia Medical Consultants, PC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Saint Mary'S Health Services CurrentSince Aug 1, 2025 Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

3333 Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 284-3132

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

3333 Evergreen Dr NE
Ste 100
Grand Rapids, MI 49525

4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

Interoperability endpoints

  • Direct secure messaging: jway675015@direct.parkviewexchange.com
  • Direct secure messaging: jway4555627@direct.trinity-health.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1346636875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 EVERGREEN DR NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259493",
            "telephone_number": "616-364-4200",
            "fax_number": "616-364-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-364-4200",
            "fax_number": "616-364-7347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_2": "Suite MSB 5.196",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770305389",
            "country_code": "US",
            "telephone_number": "713-500-6223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6431 Fannin St",
            "address_2": "Suite MSB 5.196",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770305389",
            "country_code": "US",
            "telephone_number": "713-500-6223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Sherman Blvd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441849",
            "country_code": "US",
            "telephone_number": "231-672-2000 x32400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAY",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301117286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.