Active NPI
Eric Gregory Plantinga
- Certified Registered Nurse Anesthetist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704265694
- Practice address
- 3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493 - Phone
- (616) 364-4200
- Fax
- (616) 364-7347
- NPI assigned
- May 15, 2013
- Last updated
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704265694 | MI | Primary |
Addresses
Primary practice location
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Mailing address
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
701 S Health Pkwy
Three Rivers Health Hospital
Three Rivers, MI 49093-8352
Phone (269) 278-1145
7276 Huron Ave
Lexington, MI 48450-8324
Phone (512) 593-1945
900 Peeler St
Kalamazoo, MI 49008-2300
Phone (269) 345-8618
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704265694 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Celebrity Anesthesia Staffing LLC | Current | Accepting new patients | |
| Kalamazoo Anesthesiology P C | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Professional Services PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Community Hospital | Past | Accepting new patients |
Locations
917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
1179 East Paris Ave SE
Ste E200
Grand Rapids, MI 49546
Phone (616) 975-9100
750 E Beltline Ave NE
Ste 203
Grand Rapids, MI 49525
Phone (616) 940-3600
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
5623 E Dunbar Rd
Monroe, MI 48161
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Celebrity Anesthesia
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1235728403
-
- Anesthesiology Physician
- Kalamazoo, MI
- NPI 1407821796
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Monroe, MI
- NPI 1750304622
Nurse Anesthetist, Certified Registered
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
-
dba Corewell Health Lakeland Hospitals (MDPP)
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
dba Spectrum Health Lakeland Anesthesia
- Anesthesiology Physician
- Saint Joseph, MI
- NPI 1598305641
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Sheridan, MI
- NPI 1528090594
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
dba Three Rivers Health
- General Acute Care Hospital
- Three Rivers, MI
- NPI 1568739423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1700222973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259493",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259493",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANTINGA",
"first_name": "ERIC",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-15",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704265694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
- Planned Parenthood of West & Northern Michigan
- Planned Parenthood of West and Northern Mi
- Planned Parenthood of West and Northern Michigan
- Planned Parenthood of West and Northern Michigan, Inc.
- James William Plantenga, LMSW
- Dale Marshall Plapp, MD
- Andrew Plaska, MD
- Madison Plaska, FNP-BC
- Alison Kay Plasman, OT
- Susan Elizabeth Plasman, CTRS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.