RIVER VALLEY ORTHOPEDICS P.C. NPI 1124291596

NPI Information

  • NPI: 1124291596
  • Provider Name: RIVER VALLEY ORTHOPEDICS, P.C.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 350 LAFAYETTE AVE SE
    4TH FLOOR
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 456-8515

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NPI Details

RIVER VALLEY ORTHOPEDICS, P.C. is a podiatrist in Grand Rapids, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. RIVER VALLEY ORTHOPEDICS, P.C. NPI is 1124291596. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 LAFAYETTE AVE SE
4TH FLOOR
GRAND RAPIDS, MI
ZIP 49503-600
Phone: (616) 456-8515

The provider's authorized official is Bob Johnson .
The authorized official title is Manager and has the following contact phone number (616) 459-9404.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/8/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist5901002014MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1N87680001MEDICARE UPINOHIO

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: 11/21/2025

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