Organization Active NPI

Marc a Hoeksema MD PC

  • Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1861564205
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301079863 Issued in MI
Legal business name
MARC A HOEKSEMA MD PC
Practice address
2000 Burton St SE
Grand Rapids, MI 49506-4670
Phone
(616) 301-1045
Fax
(616) 301-1260
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Marc A Hoeksema, MD
Title
President
Phone
(616) 301-1045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 4301079863 MI Primary

Addresses

Primary practice location

2000 Burton St SE
Grand Rapids, MI 49506-4670

Mailing address

PO Box 2370
Grand Rapids, MI 49501
Phone (616) 301-1045

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1861564205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2370",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49501",
            "telephone_number": "616-301-1045",
            "fax_number": "616-301-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064670",
            "telephone_number": "616-301-1045",
            "fax_number": "616-301-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC A HOEKSEMA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "HOEKSEMA",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-301-1045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301079863",
            "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 Feb 22, 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.