Organization Active NPI

Asthma Network of West Michigan

  • Case Management Agency
  • Grand Rapids, MI
National Provider Identifier
1710199302
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ASTHMA NETWORK OF WEST MICHIGAN
Practice address
309 Jefferson Ave SE
Suite 3
Grand Rapids, MI 49503-4558
Phone
(616) 685-1430
Fax
(616) 685-1437
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Dr. Mark Millar, MD
Title
President
Phone
(616) 957-1912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

309 Jefferson Ave SE
Suite 3
Grand Rapids, MI 49503-4558

Mailing address

309 Jefferson Ave SE
Suite 3
Grand Rapids, MI 49503-4558
Phone (616) 685-1430

National Provider Directory

National Provider Directory

Locations

309 Jefferson Ave SE
Ste 3
Grand Rapids, MI 49503
Phone (616) 913-8512

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1710199302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 JEFFERSON AVE SE",
            "address_2": "SUITE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034558",
            "telephone_number": "616-685-1430",
            "fax_number": "616-685-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JEFFERSON AVE SE",
            "address_2": "SUITE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034558",
            "telephone_number": "616-685-1430",
            "fax_number": "616-685-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA NETWORK OF WEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "MILLAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-957-1912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "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 Nov 2, 2009; 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.