Active NPI
Ronald Robinson Panzer
- Licensed Practical Nurse
- Grandville, MI
National Provider Identifier
1538873393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703076514
- Practice address
- 3097 Prairie St SW
Grandville, MI 49418-2000 - Phone
- (616) 531-9973
- NPI assigned
- Jan 6, 2023
- Last updated
- Jan 6, 2023
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703076514 | MI | Primary |
Addresses
Primary practice location
3097 Prairie St SW
Grandville, MI 49418-2000
Mailing address
4680 Shank St NE
Rockford, MI 49341-9604
Phone (616) 866-9127
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703076514 | MI | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treece Home Care Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1538873393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4680 SHANK ST NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493419604",
"telephone_number": "616-866-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3097 PRAIRIE ST SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182000",
"telephone_number": "616-531-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZER",
"first_name": "RONALD",
"middle_name": "ROBINSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703076514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.