Organization Active NPI

Associates in Obstetrics Gynecology & Infertility, PC

  • Independent Medical Examiner Physician
  • Grand Rapids, MI
National Provider Identifier
1689877367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
Legal business name
ASSOCIATES IN OBSTETRICS GYNECOLOGY & INFERTILITY, PC
Practice address
545 Michigan St NE Suite 300
Grand Rapids, MI 49503-5720
Phone
(616) 774-2400
Fax
(616) 774-8528
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald M Heggen, MD
Title
President
Phone
(616) 774-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202C00000X Primary

Addresses

Primary practice location

545 Michigan St NE Suite 300
Grand Rapids, MI 49503-5720

Mailing address

545 Michigan St NE Suite 300
Grand Rapids, MI 49503-5720
Phone (616) 774-2400

Other identifiers 6

IdentifierTypeStateIssuer
1487768693OtherMINPI
1351566MedicaidMI
2665179MedicaidMI
1013023456OtherMINPI
1821102013OtherMINPI
4132151MedicaidMA

National Provider Directory

National Provider Directory

Locations

545 Michigan St NE
Ste 300
Grand Rapids, MI 49503
Phone (616) 774-2400

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689877367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 MICHIGAN ST NE SUITE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035720",
            "telephone_number": "616-774-2400",
            "fax_number": "616-774-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 MICHIGAN ST NE SUITE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035720",
            "telephone_number": "616-774-2400",
            "fax_number": "616-774-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN OBSTETRICS GYNECOLOGY & INFERTILITY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEGGEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-774-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487768693",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1351566",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2665179",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013023456",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821102013",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4132151",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.