Michigan Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MICHIGAN MEDICAL PC

Practice address

3362 Lincoln Rd M40
Hamilton, MI 49419-0217

Phone

(269) 751-5189

NPI assigned

Jul 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Grevengoed

Title

VP of Finance and Reimbursement

Phone

(616) 974-4889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386664704",
    "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": "494190217",
            "telephone_number": "269-751-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Dominic Kirk
• Kathryn Mahaffie, PT, DPT
• McAlpine-Solis PLLC (Hamilton Chiropractic and Physical Rehab)
• Michelle McClellan
• Don Ira Mead, MSW
• Michigan Medical, PC. (Hamilton Family Medicine)
• Vanessa Miller, AT, ATC
• Lanie M Nyboer, BCBA
• Robert Dale Nye, OTR
• Carol Ann Ortquist, PT

• Family Medicine Physician in Hamilton, MI
• Providers in Hamilton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.