PRIMARY CARE SURGICAL PLLC
NPI 1134440605
Family Medicine in Grand Rapids, MI

Active since June 18, 2010
2290 KAMP VALLEY CT NE, GRAND RAPIDS, MI 49525(616) 685-1808 Get Directions Write a Review

NPPES record last updated: January 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primary Care Surgical Pllc NPPES

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

PRIMARY CARE SURGICAL PLLC (NPI 1134440605) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since June 2010. The organization lists Fred Reyelts, Md, as its authorized official.

NPPES Registry Identity

NPI1134440605
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE SURGICAL PLLC
Location Address2290 KAMP VALLEY CT NEGrand Rapids, MI 49525-9758
Mailing Address2290 Kamp Valley Ct NeGrand Rapids, MI 49525-9758
Organization SubpartNo
Authorized OfficialFred ReyeltsMd · (616) 685-1808
Enumeration DateJune 18, 2010
Last NPPES UpdateJanuary 17, 2011
NPI 1134440605 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.
2290 KAMP VALLEY CT NE, Grand Rapids, MI 49525

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 Primary Care Surgical PLLC's NPI number?

The NPI number for Primary Care Surgical PLLC is 1134440605. It was assigned to this organization in the NPPES registry on June 18, 2010.

Where is Primary Care Surgical PLLC located?

Primary Care Surgical PLLC is located at 2290 Kamp Valley Ct NE, Grand Rapids, MI 49525. The listed phone number is (616) 685-1808.

What is Primary Care Surgical PLLC'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 Primary Care Surgical PLLC was last updated on January 17, 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.