Organization Active NPI

Dr. WM J Gras PHD MD PC

  • Voluntary or Charitable Agency
  • Zeeland, MI
National Provider Identifier
1487621686
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
4301038103 Issued in MI
Legal business name
DR. WM J GRAS PHD MD PC
Practice address
220 Taft St
Zeeland, MI 49464-1625
Phone
(616) 772-2375
Fax
(616) 772-2375
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. William John Gras, M.D.
Title
Eye Surgeon
Phone
(616) 772-2375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 4301038103 MI Primary

Addresses

Primary practice location

220 Taft St
Zeeland, MI 49464-1625

Mailing address

220 Taft St
Zeeland, MI 49464-1625
Phone (616) 772-2375

Other identifiers 1

IdentifierTypeStateIssuer
2311351MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1487621686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 TAFT ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641625",
            "telephone_number": "616-772-2375",
            "fax_number": "616-772-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TAFT ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641625",
            "telephone_number": "616-772-2375",
            "fax_number": "616-772-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WM J GRAS PHD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "GRAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "EYE SURGEON",
        "authorized_official_telephone_number": "616-772-2375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MI",
            "license": "4301038103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2311351",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.