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DR. ROGER W. EDVENSON M.D.
NPI 1073531869
Obstetrics & Gynecology in Grand Rapids, MI

Active since July 18, 2006
555 MIDTOWNE STREET NE, SUITE 400, GRAND RAPIDS, MI 49503(616) 588-1200(616) 588-1250 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roger W. Edvenson M.d. NPPES

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

DR. ROGER W. EDVENSON M.D. (NPI 1073531869) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301047210) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1073531869
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ROGER W. EDVENSONCredential: M.D.
Location Address555 MIDTOWNE STREET NE, SUITE 400Grand Rapids, MI 49503-5731
Mailing Address555 Midtowne Street Ne, Suite 400Grand Rapids, MI 49503-5731 · (616) 588-1200 · Fax (616) 588-1250
Phone(616) 588-1200
Fax(616) 588-1250
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 7, 2011
✔ NPI 1073531869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301047210
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
555 MIDTOWNE STREET NE, Grand Rapids, MI 49503
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Other Identifiers 2

Medicare PIN0P53200005MI
Medicaid1627084MI

Other Providers at the Same Location NPPES 10

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

DR. ROBYN S HUBBARD MD
Obstetrics & Gynecology
555 MIDTOWNE STREET NE, SUITE 400
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200
SHARLA MARIE ULSTAD MD
Obstetrics & Gynecology
555 MIDTOWNE STREET NE, SUITE 400
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200
DR. ELIZABETH J. LUCE M.D.
Obstetrics & Gynecology
555 MIDTOWNE STREET NE, SUITE 400
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200
DR. RODMAN MURCHISON TABER M.D.
Obstetrics & Gynecology
555 MIDTOWNE STREET NE, SUITE 400
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200
DR. DOUGLAS M VANDRIE M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
555 MIDTOWNE STREET NE, SUITE 450
GRAND RAPIDS, MI 49503
Kent County (616) 588-1800
DR. RUTH ANNE BRANDT M.D.
Obstetrics & Gynecology
555 MIDTOWNE STREET NE, SUITE 400
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200
JANE BROOKE THIEL WHNP, BC
Nurse Practitioner
555 MIDTOWNE STREET NE, SUITE 400
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200
DR. ANITA DAWN VANDEBURG M.D.
Obstetrics & Gynecology
555 MIDTOWNE STREET NE, SUITE 400
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200

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 Roger Edvenson's NPI number?

The NPI number for Roger Edvenson is 1073531869. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Roger Edvenson located?

Roger Edvenson practices at 555 Midtowne Street NE Suite 400, Grand Rapids, MI 49503. The listed phone number is (616) 588-1200.

What is Roger Edvenson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Roger Edvenson was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.