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CREEKSIDE INTERNAL MEDICINE
NPI 1235284076
Internal Medicine in Grand Rapids, MI

Active since January 24, 2007
358 68TH ST SW, GRAND RAPIDS, MI 49548(616) 281-0463(616) 281-0576 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Creekside Internal Medicine NPPES

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

CREEKSIDE INTERNAL MEDICINE (NPI 1235284076) is a healthcare organization registered as an internal medicine in Grand Rapids, Michigan and active in the NPI registry since January 2007. The organization lists Khan Khan, President, as its authorized official.

NPPES Registry Identity

NPI1235284076
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCREEKSIDE INTERNAL MEDICINE
Location Address358 68TH ST SWGrand Rapids, MI 49548-7179
Mailing Address358 68th St SwGrand Rapids, MI 49548-7179 · (616) 281-0463 · Fax (616) 281-0576
Phone(616) 281-0463
Fax(616) 281-0576
Organization SubpartNo
Authorized OfficialKhan KhanPresident · (616) 954-0600
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1235284076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
358 68TH ST SW, Grand Rapids, MI 49548
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Other Identifiers 3

Other1770545139MI · Npi Kelly Schroeder, Pa-c
Other1194836833MI · Npi Charles Andrews, M.d.
Other1942311600MI · Npi Theodoor Beels, M.d.

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

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

MRS. LUCINDA GARDNER PT
Physical Therapist
358 68TH ST SW
GRAND RAPIDS, MI 49548
Kent County (616) 773-7246

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 Creekside Internal Medicine's NPI number?

The NPI number for Creekside Internal Medicine is 1235284076. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Creekside Internal Medicine located?

Creekside Internal Medicine is located at 358 68th St SW, Grand Rapids, MI 49548. The listed phone number is (616) 281-0463.

What is Creekside Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Creekside Internal Medicine was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.