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DR. GORDON VANOTTEREN
NPI 1114140662
Family Medicine in Grand Rapids, MI

Active since April 11, 2007
3200 EAGLE CREST PARK DR, STE 103, GRAND RAPIDS, MI 49546(800) 968-6866 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gordon Vanotteren NPPES

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

DR. GORDON VANOTTEREN (NPI 1114140662) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since April 2007. The organization lists Gordon Vanotteren, Owner, as its authorized official.

NPPES Registry Identity

NPI1114140662
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR. GORDON VANOTTEREN
Location Address3200 EAGLE CREST PARK DR, STE 103Grand Rapids, MI 49546
Mailing AddressPo Box 2994Grand Rapids, MI 49501-2994
Phone(800) 968-6866
Organization SubpartNo
Authorized OfficialGordon VanotterenOwner · (800) 968-6866
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114140662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
3200 EAGLE CREST PARK DR, Grand Rapids, MI 49546
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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

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 Dr. Gordon Vanotteren's NPI number?

The NPI number for Dr. Gordon Vanotteren is 1114140662. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Dr. Gordon Vanotteren located?

Dr. Gordon Vanotteren is located at 3200 Eagle Crest Park Dr Ste 103, Grand Rapids, MI 49546. The listed phone number is (800) 968-6866.

What is Dr. Gordon Vanotteren'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 Dr. Gordon Vanotteren was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.