Organization Active NPI

Advantage Health Physicians PC

  • Family Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1386695252
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVANTAGE HEALTH PHYSICIANS PC
Practice address
245 State St SE
Ste 1a
Grand Rapids, MI 49503-4328
Phone
(616) 913-1800
Fax
(616) 913-1818
NPI assigned
May 15, 2006
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
David E Blair, MDNPI 1518910900
Title
President
Phone
(616) 913-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU
Internal Medicine Physician 207R00000X NU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU
Obstetrics & Gynecology Physician 207V00000X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

245 State St SE
Ste 1a
Grand Rapids, MI 49503-4328

Mailing address

245 State St SE
Grand Rapids, MI 49503-4328
Phone (616) 913-1800

National Provider Directory

National Provider Directory

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

1435 Fulton St E
Grand Rapids, MI 49503
Phone (616) 235-5004

1450 Fulton St E
Grand Rapids, MI 49503
Phone (616) 643-2600

1471 E Beltline Ave NE
Ste 201
Grand Rapids, MI 49525
Phone (616) 685-3414

1616 Leonard St NW
Grand Rapids, MI 49504
Phone (616) 913-8525

220 Cherry St SE
Ste 801
Grand Rapids, MI 49503
Phone (616) 752-6557

245 State St SE
Ste 211
Grand Rapids, MI 49503
Phone (616) 685-1835

309 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-8750

4340 Callander Dr SE
Ste 101
Grand Rapids, MI 49508
Phone (616) 685-8550

5171 Plainfield Ave NE
Grand Rapids, MI 49525
Phone (616) 685-8350

6735 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 913-1000

721 3 Mile Rd NW
Ste 210
Grand Rapids, MI 49544
Phone (616) 913-8650

2080 44th St SE
Kentwood, MI 49508
Phone (616) 685-8100

4540 Kalamazoo Ave SE
Kentwood, MI 49508
Phone (616) 281-0666

2660 44th St SW
Wyoming, MI 49519
Phone (616) 261-5638

Practitioners & affiliated clinicians

Practitioners 161

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 161

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1386695252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STATE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034328",
            "telephone_number": "616-913-1800",
            "fax_number": "616-913-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STATE ST SE",
            "address_2": "STE 1A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034328",
            "telephone_number": "616-913-1800",
            "fax_number": "616-913-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-913-1800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 10, 2008; 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.