Grand Rapids Fertility & Ivf, PC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

4301057122 Issued in MI

Legal business name

GRAND RAPIDS FERTILITY & IVF, PC

Practice address

555 Mid Towne St NE
Ste 300
Grand Rapids, MI 49503-2515

Phone

(616) 774-2030

Fax

(616) 774-2053

NPI assigned

Jul 7, 2006

Last updated

Aug 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Chapman Daly, MD

Title

Owner/President

Phone

(616) 774-2030

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1851324610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MID TOWNE ST NE",
            "address_2": "STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032515",
            "telephone_number": "616-774-2030",
            "fax_number": "616-774-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MID TOWNE ST NE",
            "address_2": "STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032515",
            "telephone_number": "616-774-2030",
            "fax_number": "616-774-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RAPIDS FERTILITY & IVF, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CHAPMAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "616-774-2030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "4301057122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2807935",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "106052",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1604114301",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Rapids Eye Care 2820 PLLC
• Grand Rapids Eye Institute, PLC
• Grand Rapids Family Chiropractic Inc
• Grand Rapids Family Dentistry
• Grand Rapids Family Physicians PC
• Grand Rapids Hand, PLC
• Grand Rapids Home Health Care, Inc.
• Grand Rapids Medical Education and Research Center
• Grand Rapids Medical Education and Research Number
• Grand Rapids Medical Education Partners

• Reproductive Endocrinology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Reproductive Endocrinology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.