Active NPI
Michael R. Jarvis, DO PC
- Surgery Physician
- Grand Rapids, MI
National Provider Identifier
1831131226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MJ007129
- Legal business name
- MICHAEL R. JARVIS, DO PC
- Practice address
- 4047 Saladin Dr SE
Grand Rapids, MI 49546-6249 - Phone
- (616) 949-5342
- Fax
- (616) 949-0071
- NPI assigned
- Jun 12, 2006
- Last updated
- May 22, 2013
- 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. Michael R. Jarvis, D.O.
- Title
- President
- Phone
- (616) 949-5342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MJ007129 | MI | Primary |
Addresses
Primary practice location
4047 Saladin Dr SE
Grand Rapids, MI 49546-6249
Mailing address
4047 Saladin Dr SE
Grand Rapids, MI 49546-6249
Phone (616) 949-5342
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Fort Defiance, AZ
- NPI 1902845936
-
- Surgery Physician
- Wyoming, MI
- NPI 1972537876
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1205891504
-
- Surgery Physician
- Iron Mountain, MI
- NPI 1932125838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369180800000",
"number": "1831131226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4047 SALADIN DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466249",
"telephone_number": "616-949-5342",
"fax_number": "616-949-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4047 SALADIN DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466249",
"telephone_number": "616-949-5342",
"fax_number": "616-949-0071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL R. JARVIS, DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2013-05-22",
"status": "A",
"authorized_official_last_name": "JARVIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-949-5342",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "MJ007129",
"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 May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.