G. C. Meyer, Inc.

Primary specialty

OrthotistTaxonomy code 222Z00000X

Legal business name

G. C. MEYER, INC.

Practice address

781 Kenmoor Ave SE
Suite a
Grand Rapids, MI 49546-8628

Phone

(616) 956-5556

Fax

(616) 956-1990

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Rolewicz, C.O.

Title

President

Phone

(616) 956-5556

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pediatric Orthotic Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684627200000",
    "number": "1871513622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 LAKESHORE DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411682",
            "telephone_number": "231-759-9161",
            "fax_number": "231-759-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 KENMOOR AVE SE",
            "address_2": "SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468628",
            "telephone_number": "616-956-5556",
            "fax_number": "616-956-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. C. MEYER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A",
        "authorized_official_last_name": "ROLEWICZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-956-5556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "510D116070",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4254870",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Orthotic Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Orthotic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthotist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Orthotist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.