Organization Active NPI

Urogynecology Associates P.C.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Grand Rapids, MI
National Provider Identifier
1487312831
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
Legal business name
UROGYNECOLOGY ASSOCIATES P.C.
Practice address
1430 Michigan St NE Ste B
Grand Rapids, MI 49503-2035
Phone
(616) 805-0017
Fax
(855) 419-4416
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Husam Abed, MDNPI 1053332296
Title
President
Phone
(616) 805-0017

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
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2088F0040X Primary

Addresses

Primary practice location

1430 Michigan St NE Ste B
Grand Rapids, MI 49503-2035

Mailing address

1430 Michigan St NE Ste B
Grand Rapids, MI 49503-2035
Phone (616) 805-0017

National Provider Directory

National Provider Directory

Locations

1430 Michigan St NE
Ste B
Grand Rapids, MI 49503
Phone (616) 805-0017

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": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1487312831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MICHIGAN ST NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032035",
            "telephone_number": "616-805-0017",
            "fax_number": "855-419-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MICHIGAN ST NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032035",
            "telephone_number": "616-805-0017",
            "fax_number": "855-419-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROGYNECOLOGY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "ABED",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-805-0017",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "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 Dec 2, 2021; 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.