Individual provider Active NPI

James Alan Yenger, D.O.

  • Emergency Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1861441107
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101011794 Issued in MI
Practice address
1919 Boston St SE
Metro Health Hospital
Grand Rapids, MI 49506-4160
Phone
(616) 252-7123
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101011794 MI Primary

Addresses

Primary practice location

1919 Boston St SE
Metro Health Hospital
Grand Rapids, MI 49506-4160

Mailing address

PO Box 2184
Certified Emergency Medicine Specialists, PC
Grand Rapids, MI 49501-2184
Phone (616) 363-7867

Other identifiers 1

IdentifierTypeStateIssuer
3173249MedicaidMI

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
I20040628000131 MI Practitioner - Emergency Medicine 9739165085 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011794MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Michigan Emergency Services, PC CurrentSince Mar 17, 2012 Accepting new patients
Certified Emergency Medicine Specialists, PC Past Accepting new patients
Calhoun County Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861441107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2184",
            "address_2": "CERTIFIED EMERGENCY MEDICINE SPECIALISTS, PC",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495012184",
            "telephone_number": "616-363-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BOSTON ST SE",
            "address_2": "METRO HEALTH HOSPITAL",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064160",
            "telephone_number": "616-252-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENGER",
        "first_name": "JAMES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3173249",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.