NPIMap

Organization Active NPI

Cancer & Hematology Centers of Western Mi, P.C.

Doing business as Rheumatology Centers of Western Michigan

  • Rheumatology Physician
  • Grand Rapids, MI
National Provider Identifier
1467017434
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.
Doing business as
Rheumatology Centers of Western Michigan
Practice address
5800 Foremost Dr SE Ste 202
Grand Rapids, MI 49546-7062
Phone
(616) 389-1800
NPI assigned
May 6, 2019
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Karen Rexford
Title
Credentialing Coordinator
Phone
(833) 850-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

5800 Foremost Dr SE Ste 202
Grand Rapids, MI 49546-7062

Mailing address

5800 Foremost Dr SE Ste 300
Grand Rapids, MI 49546-7062
Phone (833) 850-0888

Other names 1

  • Rheumatology Centers of Western Michigan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000091 MI Part B Supplier - Clinic/Group Practice 4082526793 Receives reassigned benefits from 134 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grand Rapids, MI; Holland, MI; Lapeer, MI; Mt Pleasant, MI; Norton Shores, MI; Roseville, MI; Saint Johns, MI; Big Rapids, MI…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Cancer Hematology Cen

Locations

5800 Foremost Dr SE
Ste 202
Grand Rapids, MI 49546
Phone (616) 389-1800

5800 Foremost Dr SE
Ste 300
Grand Rapids, MI 49546
Phone (616) 389-1725

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1467017434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FOREMOST DR SE STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467062",
            "telephone_number": "833-850-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FOREMOST DR SE STE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467062",
            "telephone_number": "616-389-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.",
        "enumeration_date": "2019-05-06",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "REXFORD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "833-850-0888"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rheumatology Centers of Western Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.