Active NPI
Maurice John Norman, M.D.
- Cardiovascular Disease Physician
- Grand Rapids, MI
National Provider Identifier
1467433391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301065051
- Practice address
- 2900 Bradford St NE
Grand Rapids, MI 49525-6427 - Phone
- (616) 885-5000
- Fax
- (616) 885-5020
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301065051 | MI | Primary |
Addresses
Primary practice location
2900 Bradford St NE
Grand Rapids, MI 49525-6427
Mailing address
PO Box 1687
Grand Rapids, MI 49501-1687
Phone (616) 486-9280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060053862 | Other | MI | RAILROAD MEDICARE |
| 4719724 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301065051 | MI | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1467433391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1687",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495011687",
"telephone_number": "616-486-9280",
"fax_number": "616-974-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 BRADFORD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256427",
"telephone_number": "616-885-5000",
"fax_number": "616-885-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "MAURICE",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301065051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060053862",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4719724",
"state": "MI"
}
],
"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 Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.