Grades Podiatric Group, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002223 Issued in MI

Legal business name

GRADES PODIATRIC GROUP, PLLC

Practice address

185 E Main St Ste 408
Benton Harbor, MI 49022-4456

Phone

(269) 277-5040

Fax

(269) 277-5010

NPI assigned

Jul 28, 2008

Last updated

Aug 3, 2015By 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

Dr. Guercy Saint-Phard, DPMNPI 1689613416

Title

President/Owner

Phone

(269) 277-5040

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Guercy Saint-Phard, D.P.M

  • Podiatrist
  • Benton Harbor, MI
  • NPI 1689613416
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1952566036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E MAIN ST STE 408",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224456",
            "telephone_number": "269-277-5040",
            "fax_number": "269-277-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E MAIN ST STE 408",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224456",
            "telephone_number": "269-277-5040",
            "fax_number": "269-277-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADES PODIATRIC GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "SAINT-PHARD",
        "authorized_official_first_name": "GUERCY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "269-277-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134891750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ophelia Anna Rachel Flores Gollasch
• Kasandra C Gonzalez, LMSW
• Ma Magdalena Gonzalez
• Nikole Gonzalez
• Cheryl Gould
• Patricia Graf, OTRL
• Carley Grau
• Jasmine Renee Gray
• Kendra Teneshia Gray
• Great Home Healthcare & More

• Podiatrist in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.