Kentwood Family Physicians PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KENTWOOD FAMILY PHYSICIANS PC

Practice address

5070 Cascade Rd SE
Suite 250
Grand Rapids, MI 49546-8422

Phone

(616) 281-9066

Fax

(616) 281-0539

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce M Baker, D.O.NPI 1467532648

Title

President

Phone

(616) 281-9066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21411/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Bruce M Baker, D.O.

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1467532648
  Medicare reassignment Care Compare group Authorized official
• Susan L Baker, D.O.

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1205916475
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1598845794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 CASCADE RD SE",
            "address_2": "SUITE 250",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468422",
            "telephone_number": "616-281-9066",
            "fax_number": "616-281-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 CASCADE RD SE",
            "address_2": "SUITE 250",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468422",
            "telephone_number": "616-281-9066",
            "fax_number": "616-281-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTWOOD FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-281-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Kent, CNM
• Siobhan Mairead Kent, PA-C
• Tiffany Lauren Kent, MD, PHD
• Kentwood Dental Associates
• Kentwood Family Chiropractic, LLC
• Kentwood Pharmacy
• Kentwood Pharmacy LLC
• Chris L Kenward, MSW
• Carol Kenworthy
• Abigail Anne Kenyon

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.