Provider Type Icon

MICHIGAN MEDICAL PATIENT CARE NPI 1396801767


NPI Information

NPI: 1396801767
Provider Name: MICHIGAN MEDICAL PATIENT CARE
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
4100 LAKE DR SE
SUITE 300
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 974-4889
Get Directions

MICHIGAN MEDICAL PATIENT CARE is a nurse practitioner in Grand Rapids, MI. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MICHIGAN MEDICAL PATIENT CARE NPI is 1396801767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4100 LAKE DR SE
SUITE 300
GRAND RAPIDS, MI
ZIP 49546-292
Phone: (616) 974-4889

The provider's authorized official is Scott Harring .
The authorized official title is Cfo and has the following contact phone number (616) 974-4889.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 3/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseNo
2363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500D116710OTHERMICHIGANBCBS PIN
20M71280MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.