Grand Valley Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

416829 Issued in MI

Legal business name

GRAND VALLEY SURGICAL CENTER, LLC

Practice address

2680 Leonard St NE
Ste 1
Grand Rapids, MI 49525-6902

Phone

(616) 224-1110

NPI assigned

May 24, 2005

Last updated

Jan 26, 2026By 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

Kara M Dunwoody

Title

Quality and Operations MGR

Phone

(616) 224-1110

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Grand Valley Surgical CenterCCN 23C0001030

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Nathaniel James Voshel, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Grand Rapids, MI
  • NPI 1427264373
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1417950395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 LEONARD ST NE STE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256902",
            "telephone_number": "616-224-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 LEONARD ST NE",
            "address_2": "STE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256902",
            "telephone_number": "616-224-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "DUNWOODY",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "QUALITY AND OPERATIONS MGR",
        "authorized_official_telephone_number": "616-224-1110"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "416829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SECONDARY",
            "identifier": "OD17003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490004173",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40362",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Valley Dental Care, P.C.
• Grand Valley Family Health Center
• Grand Valley Gynecologists, P.C.
• Grand Valley Medical Specialists PLC
• Grand Valley State University
• Grand Wellness, LLC
• Lisa J Grandon, LPN
• Andrea Marie Grandy, LPC, LLMFT
• Robert Matthew Granett, PHARM.D.
• Jill Marie Granger, LMSW

• Ambulatory Surgical Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.