MR. CRISTIAN RODRIGUEZ PA-C NPI 1760760037

NPI Information

NPI: 1760760037
Provider Name: MR. CRISTIAN RODRIGUEZ, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: CHERRY STREET SERVICES INC

PECOS Registration: Yes

Address:
2155 BUCHANAN ST SW
GRAND RAPIDS, MI
ZIP 49507
Phone: (616) 247-3638
Get Directions

MR. Cristian Rodriguez, PA-C is a medical physician assistant in Grand Rapids, MI with 13 years of experience. MR. Cristian Rodriguez, PA-C NPI is 1760760037. 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:

2155 BUCHANAN ST SW
GRAND RAPIDS, MI
ZIP 49507
Phone: (616) 247-3638

The NPI 1760760037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/3/2011 and was last updated on 12/9/2020.

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
1	363AM0700X	Physician Assistant	Medical	5601006045	MICHIGAN	Yes
2	363A00000X	Physician Assistant		5601006045	MICHIGAN	No

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »