Saint Anne Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301095429 Issued in MI

Legal business name

SAINT ANNE MEDICAL CENTER

Practice address

6161 Kalamazoo Ave S.E
Kentwood, MI 49508

Phone

(616) 780-2949

Fax

(810) 519-4842

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Trinh Thi-Hoai Le, M.D.

Title

President

Phone

(616) 780-2949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1639578537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 W. BRISTOL RD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-265-7034",
            "fax_number": "810-519-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KALAMAZOO AVE S.E",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "49508",
            "telephone_number": "616-780-2949",
            "fax_number": "810-519-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANNE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TRINH",
        "authorized_official_middle_name": "THI-HOAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-780-2949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301095429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Kentwood, MI
• Providers in Kentwood, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.