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CRESTON MEDICAL SERVICE, PC
NPI 1043653082
Family Medicine in Grand Rapids, MI

Active since April 09, 2013
1330 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505(616) 776-1275(616) 776-3713 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Creston Medical Service, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESTON MEDICAL SERVICE, PC (NPI 1043653082) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since April 2013. The organization lists Peter Beardslee App, President, as its authorized official.

NPPES Registry Identity

NPI1043653082
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRESTON MEDICAL SERVICE, PC
Location Address1330 PLAINFIELD AVE NEGrand Rapids, MI 49505-5091
Mailing AddressPo Box 264Grand Rapids, MI 49501-0264 · (616) 776-1275
Phone(616) 776-1275
Fax(616) 776-3713
Organization SubpartNo
Authorized OfficialPeter Beardslee AppPresident · (616) 776-1275
Enumeration DateApril 9, 2013
✔ NPI 1043653082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301029675
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1330 PLAINFIELD AVE NE, Grand Rapids, MI 49505
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Other Identifiers 1

Medicare UPINB47425MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS RUTH JEAN VANDENBERG P.A.-C.
Physician Assistant
1330 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 776-0814
CRESTON MEDICAL CENTER, PLLC
Clinic/Center (Health Service)
1330 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 776-1275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creston Medical Service, PC's NPI number?

The NPI number for Creston Medical Service, PC is 1043653082. It was assigned to this organization in the NPPES registry on April 9, 2013.

Where is Creston Medical Service, PC located?

Creston Medical Service, PC is located at 1330 Plainfield Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 776-1275.

What is Creston Medical Service, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Creston Medical Service, PC was last updated on April 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.