Individual provider Active NPI

Laura Vandermolen, DO

  • Internal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1821039066
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101012688 Issued in MI
Practice address
100 Michigan St NE
A721
Grand Rapids, MI 49503-2560
Phone
(616) 391-3139
Fax
(616) 391-3044
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101012688 MI Primary

Addresses

Primary practice location

100 Michigan St NE
A721
Grand Rapids, MI 49503-2560

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100528000583 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8325177355 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exalta HealthGroup PAC ID 4789936741, 3 clinicians

Practice addresses (Care Compare)

2060 Division Ave S
Grand Rapids, MI 49507-3029
Phone (616) 475-8446

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine's Health Center Current Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Exalta Health CurrentSince Oct 2, 2018 Accepting new patients
Catherine's Health Center CurrentSince Nov 24, 2021 Accepting new patients
Catherine's Health Center CurrentSince Nov 24, 2021 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine Current Accepting new patients

Locations

100 Michigan St NE
#A721
Grand Rapids, MI 49503
Phone (616) 391-3139

4085 Burton St SE
Ste 200
Grand Rapids, MI 49546

2060 Division Ave S
Grand Rapids, MI 49507
Phone (616) 475-0182

2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1211 Lafayette Ave NE
Grand Rapids, MI 49505

1300 Michigan St NE
Ste 103
Grand Rapids, MI 49503
Phone (616) 459-8338

4069 Lake Dr SE
Ste 113
Grand Rapids, MI 49546
Phone (616) 267-8880

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

280 60th St SE
Wyoming, MI 49548
Phone (616) 483-0750

Interoperability endpoints

  • Direct secure messaging: laura.vandermolen.1@8589.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8589/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1821039066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790",
            "fax_number": "616-486-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "A721",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-391-3139",
            "fax_number": "616-391-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMOLEN",
        "first_name": "LAURA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101012688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.