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ACADEMIC SURGICAL ASSOCIATES, PLLC
NPI 1114139045
Surgery - Surgical Oncology in Grand Rapids, MI

Active since May 04, 2007
1000 E PARIS AVE SE, SUITE 150, GRAND RAPIDS, MI 49546(616) 977-6243(616) 977-0396 Get Directions Write a Review

NPPES record last updated: August 6, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Academic Surgical Associates, Pllc NPPES

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

ACADEMIC SURGICAL ASSOCIATES, PLLC (NPI 1114139045) is a healthcare organization registered as a surgical oncology in Grand Rapids, Michigan and active in the NPI registry since May 2007. The organization lists David E Scheeres, President, as its authorized official.

NPPES Registry Identity

NPI1114139045
Entity TypeOrganization
Primary Taxonomy2086X0206X
Legal Business NameACADEMIC SURGICAL ASSOCIATES, PLLC
Location Address1000 E PARIS AVE SE, SUITE 150Grand Rapids, MI 49546-3691
Mailing Address1000 E Paris Ave Se, Suite 150Grand Rapids, MI 49546-3691 · (616) 977-6243 · Fax (616) 977-0396
Phone(616) 977-6243
Fax(616) 977-0396
Organization SubpartNo
Authorized OfficialDavid E ScheeresPresident · (616) 977-3990
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 6, 2007
✔ NPI 1114139045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
1000 E PARIS AVE SE, Grand Rapids, MI 49546
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Other Identifiers 14

Medicare UPINB18045MI
Medicare ID-Type Unspecified0N90160MI · Medicare Group
Medicare ID-Type UnspecifiedN90160004MI · Vanderkolk Indivudal Mr
Medicare ID-Type UnspecifiedN90160003MI · Lange Individual Mr
Medicaid4745617MI
Medicaid4745635MI
Medicaid4745608MI
Other700D11379MI · Bcbs Group Number
Medicare UPING53702MI
Medicare ID-Type UnspecifiedN90160001MI · Scheeres Individual Mr
Medicare ID-Type UnspecifiedN90160002MI · Scholten Individual Mr
Medicaid4736850MI
Medicare UPINB48400MI
Medicare UPINA76692MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. NAVNEET SINGH MANDER M.D.
Urology
1000 E PARIS AVE SE, SUITE 230
GRAND RAPIDS, MI 49546
Kent County (616) 949-4340
GENENE EVELYN SOBOLESKI RBT
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 854-1116
JANNAT SAKI
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818
COBY K ODATE
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818
JAVONTE BRIEON JACKSON RBT
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 854-1116
SAMANTHA PRINCE
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818
ROY W WADDELL M.D.
Orthopaedic Surgery
1000 E PARIS AVE SE, SUITE 215
GRAND RAPIDS, MI 49546
Kent County (616) 949-8945
SERENA BLASKO BEHAVIOR TECHNICIAN
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818

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 Academic Surgical Associates, PLLC's NPI number?

The NPI number for Academic Surgical Associates, PLLC is 1114139045. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Academic Surgical Associates, PLLC located?

Academic Surgical Associates, PLLC is located at 1000 E Paris Ave SE Suite 150, Grand Rapids, MI 49546. The listed phone number is (616) 977-6243.

What is Academic Surgical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

When was this NPI record last updated?

The NPPES record for Academic Surgical Associates, PLLC was last updated on August 6, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.