Provider Type Icon

DR. JEANNE MARIE GRATIOT-DEANS MD NPI 1508951971


NPI Information

NPI: 1508951971
Provider Name: DR. JEANNE MARIE GRATIOT-DEANS, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
330 E BELTLINE AVE NE
SUITE 100
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 752-6235
Get Directions

DR. Jeanne Marie Gratiot-deans, MD is a nephrology internal medicine in Grand Rapids, MI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Jeanne Marie Gratiot-deans, MD NPI is 1508951971. 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:

330 E BELTLINE AVE NE
SUITE 100
GRAND RAPIDS, MI
ZIP 49506-267
Phone: (616) 752-6235
Fax: (616) 752-6324

The NPI 1508951971 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 1/18/2011.


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
1207RN0300XInternal MedicineNephrology4301054974MICHIGANYes

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
1N82520004MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
23116251MEDICAIDMICHIGAN
3F05001MEDICARE UPINMICHIGAN

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.