Organization Active NPI

Joseph Talcott D.O., P.C.

  • Obstetrics & Gynecology Physician
  • Grand Rapids, MI
National Provider Identifier
1760689673
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0011290 Issued in MI
Legal business name
JOSEPH TALCOTT D.O., P.C.
Practice address
1525 E Beltline Ave NE
Grand Rapids, MI 49525-4598
Phone
(616) 734-0900
Fax
(616) 734-0890
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Joseph P. Talcott, D.O.
Title
President
Phone
(616) 734-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0011290 MI Primary

Addresses

Primary practice location

1525 E Beltline Ave NE
Grand Rapids, MI 49525-4598

Mailing address

1525 E Beltline Ave NE
Grand Rapids, MI 49525-4598
Phone (616) 734-0900

Other practice location 1

1505 44th St SW Ste A
Wyoming, MI 49509-4482
Phone (616) 734-0900

Other identifiers 1

IdentifierTypeStateIssuer
113157399MedicaidMI

National Provider Directory

National Provider Directory

Locations

1525 E Beltline Ave NE
Ste 203
Grand Rapids, MI 49525
Phone (616) 734-0900

1505 44th St SW
Ste A
Wyoming, MI 49509
Phone (616) 734-0900

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760689673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-734-0900",
            "fax_number": "616-734-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-734-0900",
            "fax_number": "616-734-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 44th St SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495094482",
            "country_code": "US",
            "telephone_number": "616-734-0900",
            "fax_number": "616-734-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSEPH TALCOTT D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TALCOTT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-734-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "0011290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113157399",
            "state": "MI"
        }
    ],
    "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 Jul 21, 2022; 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.