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PAMELA K WIRTH MD NPI 1073566071


NPI Information

NPI: 1073566071
Provider Name: PAMELA K WIRTH, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP

PECOS Registration: Yes

Address:
200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-1800
Get Directions

Pamela K Wirth, MD is a family medicine in Grand Rapids, MI with 38 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Pamela K Wirth, MD NPI is 1073566071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1986

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-502
Phone: (616) 685-1800

The NPI 1073566071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 12/30/2021.


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 Medicine4301406882MICHIGANYes

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
14662336MEDICAIDMICHIGAN
24697117MEDICAIDMICHIGAN
34662283MEDICAIDMICHIGAN
44879835MEDICAIDMICHIGAN
54662292MEDICAIDMICHIGAN
64662318MEDICAIDMICHIGAN
74816030MEDICAIDMICHIGAN
84662363MEDICAIDMICHIGAN
94662309MEDICAIDMICHIGAN
104662354MEDICAIDMICHIGAN
114662327MEDICAIDMICHIGAN
124878023MEDICAIDMICHIGAN
134662274MEDICAIDMICHIGAN
144662345MEDICAIDMICHIGAN
154697108MEDICAIDMICHIGAN
164878293MEDICAIDMICHIGAN

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: 11/14/2023

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.