GRAND RAPIDS SURGICAL SUITES LLC NPI 1720530405

NPI Information

  • NPI: 1720530405
  • Provider Name: GRAND RAPIDS SURGICAL SUITES LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2505 E PARIS AVE SE
    SUITE 105
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 551-3149

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NPI Details

GRAND RAPIDS SURGICAL SUITES LLC is an ambulatory surgical clinic center in Grand Rapids, MI. GRAND RAPIDS SURGICAL SUITES LLC NPI is 1720530405. The provider is registered as an organization entity type.

The provider's business location address is:

2505 E PARIS AVE SE
SUITE 105
GRAND RAPIDS, MI
ZIP 49546-459
Phone: (616) 551-3149
Fax: (616) 551-3869

The provider's authorized official is Jonathan Bailey .
The authorized official title is Officer/authorized Official and has the following contact phone number (203) 609-1168.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Repair of brow paralysis (HCPCS:67900)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Therapeutic fracture of nasal passages (HCPCS:30930)
  • Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)

The enumeration date for this NPI number is 10/28/2016 and was last updated on 10/7/2024.

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
1261QA1903XClinic/CenterAmbulatory SurgicalMICHIGANYes

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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