Michigan Medical Patient Care in Grand Rapids - Physician Assistant
Michigan Medical Patient Care - NPI 1194907089
Michigan Medical Patient Care is a Physician Assistant in Grand Rapids, Michigan. Michigan Medical Patient Care practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michigan Medical Patient Care is 1194907089. The last update date is 2010-03-02.
Michigan Medical Patient Care's current location address is 4100 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169744889. The mailing address for Michigan Medical Patient Care is 4100 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan Medical Patient Care |
|---|---|
| Address | 4100 Lake Dr Se, Grand Rapids, Michigan |
| Phone Number | 6169744889 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Harring Scott |
| Telephone Number | 6169744889 |
NPI Number Detail
| NPI Number | 1194907089 |
|---|---|
| Provider Enumeration Date | 2007-12-03 |
| Last Updated Date | 2010-03-02 |
Provider Mailing Address Detail
| Address | 4100 Lake Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495468292 |
| Phone Number | 6169744889 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700D110880 | MI | BCBS PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michigan Medical Patient Care?
The Michigan Medical Patient Care has been issued the NPI (National Provider Identifier) 1194907089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Michigan Medical Patient Care's facilities are geographically located?
The facilities of Michigan Medical Patient Care are physically situated at the following location: 4100 Lake Dr Se, Grand Rapids, MI, 495468292.
What is Michigan Medical Patient Care's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michigan Medical Patient Care is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Michigan Medical Patient Care receive its 1194907089 assignment from the Centers for Medicare & Medicaid Services?
The Michigan Medical Patient Care was assigned its 1194907089 on 2007-12-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Michigan Medical Patient Care, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michigan Medical Patient Care, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-02.