Provider Type Icon

NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC NPI 1528254877


NPI Information

NPI: 1528254877
Provider Name: NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
4070 LAKE DR SE
SUITE 201
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 774-8200
Get Directions

NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC 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. NEPHROLOGY CONSULTANTS OF GRAND RAPIDS PC NPI is 1528254877. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4070 LAKE DR SE
SUITE 201
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 774-8200
Fax: (616) 774-0304

The provider's authorized official is Jessica Sue Tuck .
The authorized official title is Manager Billing and has the following contact phone number (616) 866-2539.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 9/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyR0044045MICHIGANYes

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
1A76468MEDICARE UPINMICHIGAN
20M84580MEDICARE PINMICHIGAN
33371432MEDICAIDMICHIGAN

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.