Metro Health Basic Care

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

METRO HEALTH BASIC CARE

Practice address

5500 Clyde Park Ave SW
Wyoming, MI 49509-9525

Phone

(616) 531-7769

Fax

(616) 531-7845

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Michael Faas

Title

Ceo

Phone

(616) 252-7200

Specialties & licenses 2

Addresses

Other names 1

• Metro Advantage Inc. Former legal business name

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1497706840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 BRETON RD SE",
            "address_2": "SUITE 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064810",
            "telephone_number": "616-252-4765",
            "fax_number": "616-252-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 CLYDE PARK AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099525",
            "telephone_number": "616-531-7769",
            "fax_number": "616-531-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HEALTH BASIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "FAAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-252-7200"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Advantage Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kendra Mercer
• Sheryl Mercier
• Andrea Meredith
• Madison Heidi Merritt
• Susan Joan Mesecar, NNP
• Metro Health Cardiology Clinic Corporation
• Metro Health Clinic Corporation
• Metro Health Hospital Company LLC (Metro Health Hospital)
• Metro Health Hospital Company LLC
• Metropolitan Enterprises Inc. (Metro Health)

• Physician Assistant in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.