Michigan Heart Lung and Vein Surgery

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4301102234 Issued in MI

Legal business name

MICHIGAN HEART LUNG AND VEIN SURGERY

Practice address

2757 Leonard NE
Ste 200
Grand Rapids, MI 49525-5807

Phone

(616) 954-2020

Fax

(616) 949-0408

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Daniel Richard Meldrum, MD

Title

Owner

Phone

(616) 920-4282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1871982249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-954-2020",
            "fax_number": "616-949-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LEONARD NE",
            "address_2": "STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255807",
            "telephone_number": "616-954-2020",
            "fax_number": "616-949-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HEART LUNG AND VEIN SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "MELDRUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-920-4282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301102234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Behavioral Consultants PC
• Michigan Blood
• Michigan Center for TMJ Sleep Disorders
• Michigan Christian Home
• Michigan Hand Center, PLC
• Michigan Medical Patient Care
• Michigan Medical Patient Care
• Michigan Medical Patient Care
• Michigan Medical Patient Care
• Michigan Medical Patient Care

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.