Organization Active NPI

West Michigan Cardiothoracic Surgeons PLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Grand Rapids, MI
National Provider Identifier
1487626271
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
WEST MICHIGAN CARDIOTHORACIC SURGEONS PLC
Practice address
100 Michigan St NE
Suite 8830
Grand Rapids, MI 49503-2560
Phone
(616) 459-7258
Fax
(616) 459-5215
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Mrs. Kathy J Mosley, BS
Title
Practice Administrator
Phone
(616) 459-7258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

100 Michigan St NE
Suite 8830
Grand Rapids, MI 49503-2560

Mailing address

100 Michigan St NE
MC 103
Grand Rapids, MI 49503-2560
Phone (616) 459-7258

Other identifiers 1

IdentifierTypeStateIssuer
330D16173OtherBCBSM

National Provider Directory

National Provider Directory

Locations

705 Oak St
Big Rapids, MI 49307
Phone (231) 592-4356

21 Michigan St NE
Ste 550
Grand Rapids, MI 49503
Phone (616) 459-6577

2750 E Beltline Ave NE
Fl 3
Grand Rapids, MI 49525
Phone (616) 447-5820

3800 Lake Michigan Dr NW
Ste A
Grand Rapids, MI 49534
Phone (616) 267-8225

1900 Wealthy St SE
Ste 280
Grand Rapids, MI 49506
Phone (616) 459-7258

1900 Wealthy St SE
Ste 300
Grand Rapids, MI 49506
Phone (616) 774-2400

2750 E Beltline Ave NE
#3
Grand Rapids, MI 49525

35 Michigan St NE
Ste 3003
Grand Rapids, MI 49503
Phone (616) 267-2200

100 Michigan St NE
Ste 8830
Grand Rapids, MI 49503
Phone (616) 459-7258

100 Michigan St NE
#1
Grand Rapids, MI 49503
Phone (616) 391-8153

1545 68th St SE
Ste 200
Grand Rapids, MI 49508
Phone (616) 267-8100

221 Michigan St NE
Ste 600
Grand Rapids, MI 49503
Phone (616) 774-7035

6105 Wilson Ave SW
Ste 215
Grandville, MI 49418

1560 E Sherman Blvd
Ste 30
Muskegon, MI 49444
Phone (800) 678-7980

1560 E Sherman Blvd
Ste 309
Muskegon, MI 49444
Phone (231) 672-8643

219 N White Horse Pike
Ste 104
Hammonton, NJ 08037
Phone (609) 748-7300

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1487626271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-459-7258",
            "fax_number": "616-459-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "SUITE 8830",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-459-7258",
            "fax_number": "616-459-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN CARDIOTHORACIC SURGEONS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "616-459-7258",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "330D16173",
            "state": null
        }
    ],
    "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 Jun 20, 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.

Verify at the official NPI Registry.