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MICHAEL JAMES MADURA M.D NPI 1497862437


NPI Information

NPI: 1497862437
Provider Name: MICHAEL JAMES MADURA, M.D,
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
1900 WEALTHY ST SE
STE 150
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 459-3158
Get Directions

Michael James Madura, M.D, is a gastroenterology internal medicine in Grand Rapids, MI. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Michael James Madura, M.D, NPI is 1497862437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 WEALTHY ST SE
STE 150
GRAND RAPIDS, MI
ZIP 49506-969
Phone: (616) 459-3158
Fax: (616) 459-4714

The enumeration date for this NPI number is 8/24/2006 and was last updated on 6/22/2010.


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
1207RG0100XInternal MedicineGastroenterology4301043486MICHIGANYes

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
13318794MEDICAIDMICHIGAN
21004100351OTHERMICHIGANBCBS OF MICHIGAN
3B46738MEDICARE UPINMICHIGAN
40D16122013MEDICARE PINMICHIGAN
538-2145264OTHERIRS TAX ID# THRU CORP

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.