Thomas G Schwaderer, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

TS024244 Issued in MI

Practice address

2558 Alger SE
Grand Rapids, MI 49546-5602

Phone

(616) 949-6753

Fax

(616) 949-3738

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871629857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 ALGER SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49506",
            "telephone_number": "616-949-6753",
            "fax_number": "616-949-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 ALGER SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465602",
            "telephone_number": "616-949-6753",
            "fax_number": "616-949-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWADERER",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "TS024244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marrisa Jean Schut, M.S., CF-SLP
• Leah Schutt, CCC-SLP
• Jacquelyn Schutten, MSN, FNP-C, RN, BSN
• Ella Jean Schutter
• Allison Lynn Schuurman
• Robert Bruce Schwallie, MD
• Joyce Schwallier, M.S.W.
• Nancy P Schwallier, PA-C
• Lissa Marie Schwander, LMSW
• Jenna Kristine Schwartz, PHD, MA, LP, NCSP

• Orthopaedic Surgery Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.