JOHN STEPHEN EBROM MD
NPI 1184636953
Pathology - Clinical Pathology/Laboratory Medicine in Grand Rapids, MI

Q: What is John Ebrom's NPI number?

The NPI number for John Ebrom is 1184636953. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is John Ebrom's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Q: When was this NPI record last updated?

The NPPES record for John Ebrom was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 12, 2006

200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 364-6700(616) 364-4960 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Stephen Ebrom Md NPPES

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

JOHN STEPHEN EBROM MD (NPI 1184636953) is an individual clinical pathology/laboratory medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301044412) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1184636953

Entity TypeIndividualMale

Primary Taxonomy207ZP0105X

Provider Legal NameJOHN STEPHEN EBROMCredential: MD

Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503

Mailing AddressPo Box 77000, Dept #77339Detroit, MI 48277-0339 · (616) 364-6700 · Fax (616) 364-4960

Phone(616) 364-6700

Fax(616) 364-4960

Sole ProprietorNo

Enumeration DateAugust 12, 2006

Last NPPES UpdateAugust 20, 2007

✔ NPI 1184636953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

License✔ Licensed in MI · 4301044412

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

200 JEFFERSON AVE SE, Grand Rapids, MI 49503

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Other Identifiers 4

Medicaid4525177100MI

Medicare ID-Type Unspecified0N73070MI

Medicare UPINB46573

OtherP00009267MI · Rr Medicare

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.

KATHARINE LIND THOMPSON PT

Physical Therapist

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6264

ANNE MARIE TALBOT CRNA

Nurse Anesthetist, Certified Registered

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6063

DR. ADAM MICHAEL ANDERSON MD

Emergency Medicine

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5000

MARIA E DIMUSTO-POORTENGA MD

Pediatrics (Neonatal-Perinatal Medicine)

200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503

Kent County (616) 752-6554

THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER

Durable Medical Equipment & Medical Supplies

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5030

MELISSA SUE HUDECZ MS, OTR/L

Occupational Therapist

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6264

TIMOTHY RUSSELL LEONARD

Nurse Practitioner (Family)

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 465-5910

CAMRIA RENEE DEATON BSN, RN

Registered Nurse

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5000

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 John Ebrom's NPI number?

The NPI number for John Ebrom is 1184636953. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is John Ebrom located?

John Ebrom practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 364-6700.

What is John Ebrom's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

When was this NPI record last updated?

The NPPES record for John Ebrom was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.