Jeremy Robert Veenema, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

125062773 Issued in IL

Practice address

710 Kenmoor Ave SE
Suite 110
Grand Rapids, MI 49546-2379

Phone

(616) 949-6112

Fax

(616) 949-8530

NPI assigned

Jun 4, 2013

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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

• Alger Pediatrics PC

  • Pediatrics Physician
  • Grand Rapids, MI
  • NPI 1215093216
  NPD (past)
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1992142624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 NEGAUNEE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495065318",
            "telephone_number": "616-443-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KENMOOR AVE SE",
            "address_2": "SUITE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462379",
            "telephone_number": "616-949-6112",
            "fax_number": "616-949-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEENEMA",
        "first_name": "JEREMY",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125062773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Vaughn
• Pamela M Vaught, ED.D.
• Mackenzi Anne-Welsh Vazquez
• Natalie McKay Vecasey
• Rebecca Ann Veele, MD
• Robert J Veenema, DO
• Amanda Marie Veeneman, NP
• Jill Veeneman, PA
• Sara Veeneman
• Chandler G Veenhuis, D.O.

• Pediatrics Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.