DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EMERGENCY PHYSICIANS INC PC

MEDICARE: EMERGENCY PHYSICIANS INC PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician4301026158MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114920550
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGENCY PHYSICIANS INC PC
Provider Business Mailing Address
First Line : 300 68TH ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49548-6927
Country : US
Telephone Number : 616-455-5000
Fax Number :
Provider Business Practice Location Address
First Line : 300 68TH ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49548-6927
Country : US
Telephone Number : 616-455-5000
Fax Number :
Authorized Official
Title or Position : HEAD OF GROUP
Name : JOHN A RUPKE
Credential : MD
Telephone Number : 616-242-4334
Provider Enumeration Date : 05/31/2005
Last Update Date : 08/21/2007

Similar Medicare Providers

1619544491 — ELISE ANDERSON MD
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-559-5870
Practice Fax:
1932058484 — BETHANY KUIK LMSW
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:
1912415985 — ERIN ELIZABETH WARD PA-C
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:
1891344545 — NOELLE PARTEE BS, MSOT, OTRL
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:
1174061451 — THOMAS WORM LMSW
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:
1497563548 — NICOLE SUSANN MILES NP
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:
1255985008 — REALITE LANICE PEEBLES LBA, BCBA
Practice Location Address:
300 68TH ST SE
GRAND RAPIDS, MI
49548-6927
Practice Phone: 616-455-5000
Practice Fax:

Directions to “EMERGENCY PHYSICIANS INC PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.