Tandy L. Champion, D.O., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5101011944 Issued in MI

Legal business name

TANDY L. CHAMPION, D.O., P.C.

Practice address

4166 56TH St., SW
Grandville, MI 49418-2371

Phone

(616) 249-1850

Fax

(616) 532-8657

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tandy L. Champion, DONPI 1164443578

Title

President

Phone

(616) 249-1850

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tandy Champion, DO

  • Pediatrics Physician
  • Wyoming, MI
  • NPI 1164443578
  Authorized official Same address or phone
• Richard Alan Switzer, M.D.

  • Pediatrics Physician
  • Grandville, MI
  • NPI 1588770846

  Internal Medicine

  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619032000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 56TH ST., SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-249-1850",
            "fax_number": "616-532-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 56TH ST., SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-249-1850",
            "fax_number": "616-532-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDY L. CHAMPION, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "TANDY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-249-1850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101011944",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101011944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollister Christian Swanson, MD
• Richard Alan Switzer, M.D.
• Andrea Sybesma, BSW
• Synergy Behavioral Health
• Jean Christiana Marion Talsma, D.O.
• Briana Nicole Tanner, PA-C
• Target Corporation and Subsidiaries (Target Pharmacy)
• Karmen Renee Earegood Taylor
• Alana Marie Terbush, OD
• Kylelyne Deeanne Thayer

• Pediatrics Physician in Grandville, MI
• Providers in Grandville, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.