Active NPI
Concierge Medicine of Grand Rapids
Doing business as Concierge Medicine of West Michigan
- Family Medicine Physician
- Ada, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CONCIERGE MEDICINE OF GRAND RAPIDS
- Doing business as
- Concierge Medicine of West Michigan
- Practice address
- 6741 Fulton St E Ste 200
Ada, MI 49301-9502 - Phone
- (616) 290-1650
- Fax
- (833) 973-4117
- NPI assigned
- Jan 29, 2026
- Last updated
- Jan 29, 2026
- 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. Lara Jean Baatenburg, MD
- Title
- Physician, Owner
- Phone
- (616) 914-5384
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
6741 Fulton St E Ste 200
Ada, MI 49301-9502
Mailing address
6741 Fulton St E Ste 200
Ada, MI 49301-9502
Phone (616) 290-1650
Other names 1
- Concierge Medicine of West Michigan
National Provider Directory
National Provider DirectoryLocations
6741 Fulton St E
#200
Ada, MI 49301
Phone (616) 290-1650
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Ada, MI
- NPI 1336590843
-
- Family Medicine Physician
- Ada, MI
- NPI 1720438872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769644800000",
"number": "1851241061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6741 FULTON ST E STE 200",
"city": "ADA",
"state": "MI",
"postal_code": "493019502",
"telephone_number": "616-290-1650",
"fax_number": "833-973-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6741 FULTON ST E STE 200",
"city": "ADA",
"state": "MI",
"postal_code": "493019502",
"telephone_number": "616-290-1650",
"fax_number": "833-973-4117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCIERGE MEDICINE OF GRAND RAPIDS",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-29",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A",
"authorized_official_last_name": "BAATENBURG",
"authorized_official_first_name": "LARA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "PHYSICIAN, OWNER",
"authorized_official_telephone_number": "616-914-5384",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Concierge Medicine of West Michigan",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.