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KERRY POLIZZI MD NPI 1508819517


NPI Information

NPI: 1508819517
Provider Name: KERRY POLIZZI, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
245 STATE ST SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-1800
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Kerry Polizzi, MD is a family medicine in Grand Rapids, MI. 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. Kerry Polizzi, MD NPI is 1508819517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

245 STATE ST SE
GRAND RAPIDS, MI
ZIP 49503-328
Phone: (616) 685-1800
Fax: (616) 685-1818

The enumeration date for this NPI number is 5/19/2006 and was last updated on 6/30/2009.


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 Medicine4301066000MICHIGANYes

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
1G78284MEDICARE UPINMICHIGAN
24877465MEDICAIDMICHIGAN
34181764MEDICAIDMICHIGAN
4M69390097MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
5P32930056MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
6M02830089MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
74181782MEDICAIDMICHIGAN
83482137MEDICAIDMICHIGAN
94181817MEDICAIDMICHIGAN
104166697MEDICAIDMICHIGAN

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.