MEDICARE: DR. KAREN ANN O'ROURKE DDS

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
1	1223G0001X	General Practice Dentistry	2901014123	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	383123607	OTHER	MI	TAX ID #

General Provider Information

NPI Number	:	1952306128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN ANN O'ROURKE DDS

Provider Business Mailing Address
First Line	:	4250 KALAMAZOO AVE SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49508-3607
Country	:	US
Telephone Number	:	616-455-7930
Fax Number	:	616-455-9952

Provider Business Practice Location Address
First Line	:	4250 KALAMAZOO AVE SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49508-3607
Country	:	US
Telephone Number	:	616-455-7930
Fax Number	:	616-455-9952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	09/21/2012

Similar Medicare Providers

1467416420 — DR. KEITH A SARVER D.C.
Practice Location Address:

4250 KALAMAZOO AVE SE
GRAND RAPIDS, MI
49508-3607

Practice Phone: 616-455-1100
Practice Fax: 616-455-1124

1578670410 — HOMETOWN PHARMACY INC
Practice Location Address:

4252 KALAMAZOO AVE SE
GRAND RAPIDS, MI
49508-3607

Practice Phone: 616-281-1323
Practice Fax: 616-281-1330

1013099092 — KAREN A O ROURKE DDS PC
Practice Location Address:

4250 KALAMAZOO SE STE 1
GRAND RAPIDS, MI
49508-3607

Practice Phone: 616-455-7930
Practice Fax: 616-455-9952

1497033732 — MS. MICHELLE LYNN BOAHBEDASON
Practice Location Address:

4252 KALAMAZOO AVE SE
GRAND RAPIDS, MI
49508-3607

Practice Phone: 616-281-1323
Practice Fax: 616-281-1330

1356981922 — HOME TOWN PHARMACY INC
Practice Location Address:

4252 KALAMAZOO AVE SE
GRAND RAPIDS, MI
49508-3607

Practice Phone: 616-281-1323
Practice Fax: 616-281-1330

1669451027 — JOAN M VANSOLKEMA MSN
Practice Location Address:

1055 MEDICAL PARK DR SE
GRAND RAPIDS, MI
49546-3607

Practice Phone: 800-968-6866
Practice Fax: 616-532-7230

Directions to “ DR. KAREN ANN O'ROURKE DDS” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.