DR. JACOB MATTHEW UTASH M.D. NPI 1598050163

NPI Information

  • NPI: 1598050163
  • Provider Name: DR. JACOB MATTHEW UTASH, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 80 68TH ST SE
    GRAND RAPIDS, MI
    ZIP 49548
  • Phone: (616) 391-8242

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NPI Details

DR. Jacob Matthew Utash, M.D. 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. DR. Jacob Matthew Utash, M.D. NPI is 1598050163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

80 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548-980
Phone: (616) 391-8242
Fax: (616) 391-8317

The enumeration date for this NPI number is 6/12/2011 and was last updated on 1/7/2016.

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
1207Q00000XFamily Medicine4301098739MICHIGANYes

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
10M74460MEDICARE PINMICHIGAN

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

NPI Synchronization or Removal

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