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GRAND VALLEY MEDICAL SPECIALISTS PLC NPI 1033226402


NPI Information

NPI: 1033226402
Provider Name: GRAND VALLEY MEDICAL SPECIALISTS PLC

Former Legal Business Name: GRAND VALLEY INTERNAL MEDICINE SPECIALISTS, PLC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D0380481

Address:
1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 459-3158
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GRAND VALLEY MEDICAL SPECIALISTS PLC is an internal medicine in Grand Rapids, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GRAND VALLEY MEDICAL SPECIALISTS PLC NPI is 1033226402. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Grand Valley Internal Medicine Specialists, Plc.

The provider's business location address is:

1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI
ZIP 49546-680
Phone: (616) 459-3158
Fax: (616) 742-6758

The provider's authorized official is Joanne Reynolds .
The authorized official title is Credentialing Specialist and has the following contact phone number (616) 235-4800.

The CLIA number assigned to this NPI record is 23D0380481 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 11/6/2023.


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
1207Q00000XFamily MedicineNo
2207RG0100XInternal MedicineGastroenterologyNo
3207R00000XInternal MedicineYes

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

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