Donald Ezra Rutherford, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009705 Issued in MI

Practice address

1159 S Harbor Dr
Suite C4
Grand Haven, MI 49417-1796

Phone

(616) 844-4068

Fax

(616) 844-4068

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Metropolitan Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1811961899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-844-4068",
            "fax_number": "616-844-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 S HARBOR DR",
            "address_2": "SUITE C4",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171796",
            "telephone_number": "616-844-4068",
            "fax_number": "616-844-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "DONALD",
        "middle_name": "EZRA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009705",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101009705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Janzen Rowland, RBT
• Sheryl Jane Rozema, PH.D., LLP
• Ronda Victoria Ruscett, OD
• Zoie Theodora Russell
• Martin T Russo Jr., DO
• Jean Marie Rutherford, LMSW
• RX Optical Laboratories, Inc.
• Ryan Klanseck, DO
• Christine Mary Ryan, D.O.
• Jennifer Nicole Rycenga, LPTA

• Family Medicine Physician in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.