Lynn S Hedeman, MD, PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4301029420 Issued in MI

Legal business name

LYNN S HEDEMAN, MD, PC

Practice address

414 Plymouth Ave NE
Grand Rapids, MI 49505-6038

Phone

(616) 454-3465

Fax

(616) 454-9004

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Lynn Stuart Hedeman, MD

Title

President

Phone

(616) 454-3465

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1639359029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PLYMOUTH AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056038",
            "telephone_number": "616-454-3465",
            "fax_number": "616-454-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PLYMOUTH AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056038",
            "telephone_number": "616-454-3465",
            "fax_number": "616-454-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN S HEDEMAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "HEDEMAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-454-3465",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301029420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynch
• Kylyn L Lynch, PT, DPT
• Rachael A Lynch, LMSW
• Cara Madison Lynd
• Sara Ruth Lynema, PSYD
• Niya Samone Lynn
• Noelle Lynn
• Lynne Chadfield DO PLLC
• Aaron Lyon, MD
• Branden Lyon, LMSW

• Neurological Surgery Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.