Ronald E Graeser, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RG006295 Issued in MI

Practice address

611 E Main St
Hart, MI 49420-1190

Phone

(231) 873-5675

Fax

(231) 873-3448

NPI assigned

Jul 7, 2006

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

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Urgent Care

  • Urgent Care Clinic/Center
  • Muskegon, MI
  • NPI 1861432692

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922030063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201190",
            "telephone_number": "231-873-5675",
            "fax_number": "231-873-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201190",
            "telephone_number": "231-873-5675",
            "fax_number": "231-873-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAESER",
        "first_name": "RONALD",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RG006295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4506190 TYPE 11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN NUMBER",
            "identifier": "5700059",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010F476090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00004279",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Felt, OTR/L
• Kelly Foreman, OTA
• Annette Louise Fortino, LCSW ACSW CAC-II
• Leigh B Furgason, PHARMACIST
• Carmen Garcia
• Kaitlyn Haner
• Elizabeth Ann Hanna, NP
• Hart Family Dentistry PLLC (Hart Lake Family Dentistry)
• Hart Family Medical Associates PC
• Nathan Hayes, OTR

• Family Medicine Physician in Hart, MI
• Providers in Hart, MI by specialty
• Family Medicine 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.