Organization Active NPI

Marc a Hoesema MD PC

  • Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1710051867
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301079863 Issued in MI
Legal business name
MARC A HOESEMA MD PC
Practice address
1919 Boston St SE
Grand Rapids, MI 49506-4160
Phone
(616) 252-7200
NPI assigned
Nov 20, 2006
Organization subpart
Yes
Parent organization
MARC A HOEKSEMA MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Marc A Hoeksema, MD
Title
President
Phone
(616) 252-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 4301079863 MI Primary

Addresses

Primary practice location

1919 Boston St SE
Grand Rapids, MI 49506-4160

Mailing address

1919 Boston St SE
Grand Rapids, MI 49506-4160
Phone (616) 252-7200

National Provider Directory

National Provider Directory
Part of
Marc a Hoesema MD PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1710051867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 BOSTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064160",
            "telephone_number": "616-252-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BOSTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064160",
            "telephone_number": "616-252-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC A HOESEMA MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARC A HOEKSEMA MD PC",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "HOEKSEMA",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-252-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301079863",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 21, 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.