Impact Health: Integrative Medicine and Preventive Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301075369 Issued in MI

Legal business name

IMPACT HEALTH: INTEGRATIVE MEDICINE AND PREVENTIVE CARDIOLOGY

Practice address

29 W 8TH St
Suite 240
Holland, MI 49423-3185

Phone

(616) 403-7509

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Bryan Johnson, M.D.

Title

President

Phone

(616) 403-7509

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1760726533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W 8TH ST",
            "address_2": "SUITE 240",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W 8TH ST",
            "address_2": "SUITE 240",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233185",
            "telephone_number": "616-403-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HEALTH: INTEGRATIVE MEDICINE AND PREVENTIVE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-403-7509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301075369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Hutson, M.D.
• Nicole Hutson
• Eden Hutzel
• Imagination Counseling LLC
• Elise Imhoff
• Alena Impellizzeri
• Innate Integrity Chiropractic LLC
• Intercare Community Health Network
• Intercare Community Health Network
• Jessica Irvin

• Cardiovascular Disease Physician in Holland, MI
• Providers in Holland, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.