Active NPI
Gynecologic Oncology of West Michigan, PLLC
- Gynecologic Oncology Physician
- Grand Rapids, MI
National Provider Identifier
1720292303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- GYNECOLOGIC ONCOLOGY OF WEST MICHIGAN, PLLC
- Practice address
- 1000 E Paris Ave SE
Suite 242
Grand Rapids, MI 49546-3691 - Phone
- (616) 957-3398
- NPI assigned
- May 10, 2007
- Last updated
- May 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristi Knox Downey
- Title
- Practice Administrator
- Phone
- (616) 957-3539
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | Primary |
Addresses
Primary practice location
1000 E Paris Ave SE
Suite 242
Grand Rapids, MI 49546-3691
Mailing address
1000 E Paris Ave SE
Suite 242
Grand Rapids, MI 49546-3691
Phone (616) 957-3398
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0P51370001 | Other | MEDICARE PTAN | |
| CK3413 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1000 East Paris Ave SE
Ste 242
Grand Rapids, MI 49546
Phone (616) 957-3398
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecologic Oncology Physician
- Grand Rapids, MI
- NPI 1245340223
-
- Gynecologic Oncology Physician
- Springfield, MO
- NPI 1194835181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369872000000",
"number": "1720292303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "SUITE 242",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463691",
"telephone_number": "616-957-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "SUITE 242",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463691",
"telephone_number": "616-957-3398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GYNECOLOGIC ONCOLOGY OF WEST MICHIGAN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2013-05-30",
"status": "A",
"authorized_official_last_name": "DOWNEY",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "KNOX",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "616-957-3539"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0P51370001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK3413",
"state": null
}
],
"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 May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.