Active NPI
Marc a Hoesema MD PC
- Surgery Physician
- Grand Rapids, MI
National Provider Identifier
1710051867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301079863
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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.
-
- Surgery Physician
- Grand Rapids, MI
- NPI 1861564205
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.