Organization Active NPI

Joshuatree Internal Medicine

  • Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1427227156
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301054954 Issued in MI
Legal business name
JOSHUATREE INTERNAL MEDICINE
Practice address
825 Parchment Dr SE Ste 200
Grand Rapids, MI 49546-2382
Phone
(616) 949-0000
Fax
(616) 949-5943
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Sheila M, Vanlowe-Prince, M.D.NPI 1568401032
Title
Phycisian
Phone
(616) 949-0000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301054954 MI Primary

Addresses

Primary practice location

825 Parchment Dr SE Ste 200
Grand Rapids, MI 49546-2382

Mailing address

825 Parchment Dr SE Ste 200
Grand Rapids, MI 49546-2382
Phone (616) 949-0000

National Provider Directory

National Provider Directory

Locations

825 Parchment Dr SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 949-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1427227156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 PARCHMENT DR SE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462382",
            "telephone_number": "616-949-0000",
            "fax_number": "616-949-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 PARCHMENT DR SE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462382",
            "telephone_number": "616-949-0000",
            "fax_number": "616-949-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUATREE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "VANLOWE-PRINCE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M,",
        "authorized_official_title_or_position": "PHYCISIAN",
        "authorized_official_telephone_number": "616-949-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301054954",
            "primary": true
        }
    ],
    "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 Feb 27, 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.