Active NPI
Duane Edward Scholtens, PA-C
- Medical Physician Assistant
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601005101
- Practice address
- 200 Jefferson Ave SE
Grand Rapids, MI 49503-4502 - Phone
- (616) 752-6520
- NPI assigned
- Oct 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601005101 | MI | Primary |
Addresses
Primary practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Mailing address
143 Dennis Ave
Fruitport, MI 49415-9755
Phone (231) 865-6820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3027
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5000
220 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5050
250 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary'S Medical Group | Current | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Current | Accepting new patients | |
| Saint Mary'S Health Services | Past | Accepting new patients | |
| West Shore Cardiology, PLC | Past | Accepting new patients | |
| Trinity Health - Michigan | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
245 State St SE
Ste 1A
Grand Rapids, MI 49503
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
260 Jefferson Ave SE
Ste 206
Grand Rapids, MI 49503
Phone (616) 752-5432
1471 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 685-3414
1900 44th St SE
Kentwood, MI 49508
Phone (616) 685-8500
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Internal Medicine Physician
- Muskegon, MI
- NPI 1922248772
-
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1073567806
-
- Durable Medical Equipment & Medical Supplies
- Holland, MI
- NPI 1871741652
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1902002272
-
- Cardiovascular Disease Physician
- Muskegon, MI
- NPI 1073528642
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1790974210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 DENNIS AVE",
"city": "FRUITPORT",
"state": "MI",
"postal_code": "494159755",
"telephone_number": "231-865-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JEFFERSON AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034502",
"telephone_number": "616-752-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOLTENS",
"first_name": "DUANE",
"middle_name": "EDWARD",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-21",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601005101",
"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 Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.