GEOFFREY R DETOLVE MD - NPI 1184604795 - Pediatrics in Kalamazoo, MI

Q: What is Geoffrey Detolve's NPI number?

The NPI number for Geoffrey Detolve is 1184604795. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Geoffrey Detolve's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Geoffrey Detolve was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

On this page

About Geoffrey R Detolve Md NPPES

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

GEOFFREY R DETOLVE MD (NPI 1184604795) is an individual pediatrics provider in Kalamazoo, Michigan, licensed in Michigan (4301064382) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1184604795

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameGEOFFREY R DETOLVECredential: MD

Location Address601 JOHN ST, SUITE E352Kalamazoo, MI 49007-5341

Mailing Address601 John St, Suite E352Kalamazoo, MI 49007-5341 · (269) 341-8986 · Fax (269) 341-6236

Phone(269) 341-8986

Fax(269) 341-6236

Sole ProprietorNo

Enumeration DateJanuary 19, 2006

Last NPPES UpdateNovember 17, 2014

✔ NPI 1184604795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301064382

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

601 JOHN ST, Kalamazoo, MI 49007

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Other Identifiers 6

Medicare PINC97618216MI

Medicare UPIND14585

Other1417961137MI · Bcbsm - Bmh Tax Id# 38-1359087

Medicaid1184604795MI

Medicare PIN0M20520031MI

Medicaid4385657MI

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. AMANDA KEATING WALKER D.O.

Obstetrics & Gynecology

601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007

Kalamazoo County (269) 341-7979

ANDREW W. WALKER MD

Emergency Medicine

601 JOHN ST
KALAMAZOO, MI 49007

Kalamazoo County (847) 404-6853

JUSTINE MELODIE OUDSEMA PA-C

Physician Assistant

601 JOHN ST, BOX 74
KALAMAZOO, MI 49007

Kalamazoo County (269) 341-8481

OCHUKO ANDREW OGHOR CRNA

Nurse Anesthetist, Certified Registered

601 JOHN ST
KALAMAZOO, MI 49007

Kalamazoo County (239) 341-7654

MARK J TIESZEN MD

Internal Medicine (Critical Care Medicine)

601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007

Kalamazoo County (269) 341-7762

DR. ERIC S SHAY M.D.

Internal Medicine

601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007

Kalamazoo County (269) 381-5060

EVGENIIA MORLEY RD

Dietitian, Registered

601 JOHN ST
KALAMAROO, MI 49007

Kalamazoo County (269) 341-6615

SELECT HOSPITALISTS, PLLC

Internal Medicine

601 JOHN ST
KALAMAZOO, MI 49007

Kalamazoo County (269) 341-7100

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 Geoffrey Detolve's NPI number?

The NPI number for Geoffrey Detolve is 1184604795. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Geoffrey Detolve located?

Geoffrey Detolve practices at 601 John St Suite E352, Kalamazoo, MI 49007. The listed phone number is (269) 341-8986.

What is Geoffrey Detolve's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Geoffrey Detolve was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.