Ronald Vanderlaan, MD, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301046234 Issued in MI

Legal business name

RONALD VANDERLAAN, MD, PLLC

Practice address

655 Kenmoor Ave SE Ste 101
Grand Rapids, MI 49546-8622

Phone

(616) 900-9911

Fax

(616) 900-9862

NPI assigned

Dec 4, 2007

Last updated

Dec 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Lynn Szott

Title

Billing Manager

Phone

(616) 900-9911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greater Cardiology Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Judith Gardner, NP

  • Gerontology Nurse Practitioner
  • Encinitas, CA
  • NPI 1033791843

  MI

  Medicare reassignment Care Compare group NPD
• Ronald Vanderlaan, MD

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
  • NPI 1447299599
  Medicare reassignment Care Compare group
• Kaylin Walters, PA

  • Medical Physician Assistant
  • Grand Rapids, MI
  • NPI 1164045142
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1942482641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 KENMOOR AVE SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468622",
            "telephone_number": "616-900-9911",
            "fax_number": "616-900-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 KENMOOR AVE SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468622",
            "telephone_number": "616-900-9911",
            "fax_number": "616-900-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD VANDERLAAN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "SZOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "616-900-9911",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301046234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942482641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greater Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greater Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheryl Lynn Romero, LMSW
• Dina Barbara Kaissi Romine, PA
• Camryn R Romph, DO
• Ronald McDonald House of Western Michigan, Inc.
• Ronald P. Kufner M.D., P.C.
• Kelsey Ronan
• Patrick G Ronan, MD
• Sharon Ronan, LLP
• Rachel Jane Ronda, BA
• Kelsey Rondeau

• Cardiovascular Disease Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.