Active NPI
Family Urology Associates, PLC
- Urology Physician
- Grand Rapids, MI
National Provider Identifier
1780801456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301043886
- Legal business name
- FAMILY UROLOGY ASSOCIATES, PLC
- Practice address
- 1000 E Paris Ave SE
Suite 205
Grand Rapids, MI 49546-3680 - Phone
- (616) 942-8868
- Fax
- (616) 942-8363
- NPI assigned
- Apr 20, 2007
- 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
- Dr. John H. Kopchick, M.D.
- Title
- Principle
- Phone
- (616) 942-8868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4301043886 | MI | Primary |
Addresses
Primary practice location
1000 E Paris Ave SE
Suite 205
Grand Rapids, MI 49546-3680
Mailing address
1000 E Paris Ave SE
Suite 205
Grand Rapids, MI 49546-3680
Phone (616) 942-8868
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005357 | Other | MI | MCLAREN HEALTH PLAN |
| 104135289 | Medicaid | MI | |
| 900002217 | Other | MI | PRIORITY HEALTH |
| 3404100631 | Other | MI | COMMUNITY CHOICE |
National Provider Directory
National Provider DirectoryLocations
1000 East Paris Ave SE
Ste 250
Grand Rapids, MI 49546
Phone (616) 350-9075
1000 East Paris Ave SE
Ste 205
Grand Rapids, MI 49546
Phone (616) 285-1800
5840 Byron Center Ave SW
Wyoming, MI 49519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1780801456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "SUITE 205",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463680",
"telephone_number": "616-942-8868",
"fax_number": "616-942-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "SUITE 205",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463680",
"telephone_number": "616-942-8868",
"fax_number": "616-942-8363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY UROLOGY ASSOCIATES, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "KOPCHICK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRINCIPLE",
"authorized_official_telephone_number": "616-942-8868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "MI",
"license": "4301043886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1005357",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104135289",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "900002217",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE",
"identifier": "3404100631",
"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 Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.