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MICHIGAN MEDICAL PATIENT CARE
NPI 1174689608
Podiatrist in Grand Rapids, MI

Active since December 29, 2006
4069 LAKE DR SE, SUITE 315 B, GRAND RAPIDS, MI 49546(616) 464-2810 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michigan Medical Patient Care NPPES

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

MICHIGAN MEDICAL PATIENT CARE (NPI 1174689608) is a healthcare organization registered as a podiatrist in Grand Rapids, Michigan and active in the NPI registry since December 2006. The organization lists Scott Harring, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174689608
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMICHIGAN MEDICAL PATIENT CARE
Location Address4069 LAKE DR SE, SUITE 315 BGrand Rapids, MI 49546-8816
Mailing Address4085 Burton St Se, Suite 200Grand Rapids, MI 49546-2444 · (616) 974-4889
Phone(616) 464-2810
Organization SubpartYes
Authorized OfficialScott HarringCfo · (616) 974-4889
Enumeration DateDecember 29, 2006
Last NPPES UpdateMarch 2, 2010
✔ NPI 1174689608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
4069 LAKE DR SE, Grand Rapids, MI 49546
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Other Identifiers 1

Medicare ID-Type Unspecified0N95160MI

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 20

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

TABETHA EMILY BERGERON PA-C
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 267-7469
ROBERT CUFF MD
Surgery (Vascular Surgery)
4069 LAKE DR SE, S-312
GRAND RAPIDS, MI 49546
Kent County (616) 267-8700
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Kent County (616) 464-2860
SARAH L PARKER NP
Nurse Practitioner (Family)
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 267-7469
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Dietitian, Registered
4069 LAKE DR SE, STE. 315
GRAND RAPIDS, MI 49546
Kent County (616) 267-8950
SAVANNAH DAWN MOLNER PA
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 267-7469
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Family Medicine
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 267-7105
AMELIA JOY ASHCRAFT PA-C
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 267-7469

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 Michigan Medical Patient Care's NPI number?

The NPI number for Michigan Medical Patient Care is 1174689608. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Michigan Medical Patient Care located?

Michigan Medical Patient Care is located at 4069 Lake Dr SE Suite 315 B, Grand Rapids, MI 49546. The listed phone number is (616) 464-2810.

What is Michigan Medical Patient Care's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Michigan Medical Patient Care was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.