PENNANT PHYSICIAN SERVICES
NPI 1245572007
Pediatrics - Pediatric Cardiology in Grand Rapids, MI

NPI Status: Active since March 20, 2013

Contact Information

555 MIDTOWNE ST NE
SUITE 310
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 252-4765

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  • Organization
  • Pediatrics
  • Pediatric Cardiology

About PENNANT PHYSICIAN SERVICES

This page provides the complete NPI Profile along with additional information for Pennant Physician Services, a pediatrician established in Grand Rapids, Michigan operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1245572007 assigned on March 2013. The practitioner's primary taxonomy code is 2080P0202X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Pennant Physician Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Frank E Belsito Do (Cmo)

NPI
1245572007
Provider Name
PENNANT PHYSICIAN SERVICES
Entity Type
Organization
Location Address
555 MIDTOWNE ST NE SUITE 310 GRAND RAPIDS, MI 49503
Location Phone
(616) 252-4765
Mailing Address
2122 HEALTH DR SW SUITE 230 WYOMING, MI 49519
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2013
Last Update Date
03-20-2013
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A pediatrician like Pennant Physician Services is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FRANK E BELSITO DO

Authorized Official Title
CMO
Authorized Official Phone
(616) 252-5211

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245572007
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285107400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 0 + 7 + 4 + 0 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1245572007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

JERRY WITTINGEN M.D

Obstetrics & Gynecology

555 MIDTOWNE ST NE
SUITE 302
GRAND RAPIDS, MI
ZIP 49503

(616) 391-3315

ADAM B BLICKLEY MD

Obstetrics & Gynecology

555 MIDTOWNE ST NE
SUITE 400
GRAND RAPIDS, MI
ZIP 49503

(616) 588-1200

DR. ROBERT J. BOWES M.D.

Obstetrics & Gynecology

555 MIDTOWNE ST NE
SUITE 400
GRAND RAPIDS, MI
ZIP 49503

(616) 588-1200

MIDTOWNE PHARMACY

Pharmacy

(Community/Retail Pharmacy)

555 MIDTOWNE ST NE
SUITE 103
GRAND RAPIDS, MI
ZIP 49503

(616) 554-1964

BRADLEY BENGTSON, M.D. PC

Plastic Surgery

555 MIDTOWNE ST NE
SUITE 110
GRAND RAPIDS, MI
ZIP 49503

(616) 588-8880

MRS. ROXANNE KAY CORNELIUS PA-C

Physician Assistant

(Medical)

555 MIDTOWNE ST NE
SUITE 110
GRAND RAPIDS, MI
ZIP 49503

(616) 588-8880

MICHELLE MIZE EMERY MD

Dermatology

555 MIDTOWNE ST NE
SUITE 301
GRAND RAPIDS, MI
ZIP 49503

(616) 248-8864

HEATHER JEREB M.D.

Obstetrics & Gynecology

555 MIDTOWNE ST NE
SUITE 400
GRAND RAPIDS, MI
ZIP 49503

(616) 588-1200

KORTNE CUSTER P.A. -C

Physician Assistant

555 MIDTOWNE ST NE
GRAND RAPIDS, MI
ZIP 49503

(616) 588-8880

MARK S ASPERHEIM MD

Orthopaedic Surgery

555 MIDTOWNE ST NE
SUITE 105
GRAND RAPIDS, MI
ZIP 49503

(616) 459-7101

THOMAS A MALVITZ MD

Orthopaedic Surgery

555 MIDTOWNE ST NE
SUITE 105
GRAND RAPIDS, MI
ZIP 49503

(616) 459-7101

DR. DAVID J BIELEMA MD

Orthopaedic Surgery

555 MIDTOWNE ST NE
SUITE 105
GRAND RAPIDS, MI
ZIP 49503

(616) 459-7101

DR. KORY JAMES JOHNSON D.O.

Orthopaedic Surgery

(Adult Reconstructive Orthopaedic Surgery)

555 MIDTOWNE ST NE
SUITE 105
GRAND RAPIDS, MI
ZIP 49503

(616) 459-7101

ROBERT L DEMAAGD MD

Orthopaedic Surgery

555 MIDTOWNE ST NE
SUITE 105
GRAND RAPIDS, MI
ZIP 49503

(616) 459-7101

MICHELLE A KLYN MD

Obstetrics & Gynecology

555 MIDTOWNE ST NE
STE 450
GRAND RAPIDS, MI
ZIP 49503

(616) 588-1200

DR. MONICA LANE GARY MD

Obstetrics & Gynecology

555 MIDTOWNE ST NE
SUITE 400
GRAND RAPIDS, MI
ZIP 49503

(616) 588-1200

DR. AMY MARIE STRIKWERDA M.D.

Dermatology

555 MIDTOWNE ST NE
SUITE 301
GRAND RAPIDS, MI
ZIP 49503

(616) 248-8864

OAM SURGERY CENTER AT MIDTOWNE, LLC

Clinic/Center

(Ambulatory Surgical)

555 MIDTOWNE ST NE
SUITE 200
GRAND RAPIDS, MI
ZIP 49503

(616) 552-5000

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Obstetrics & Gynecology

555 MIDTOWNE ST NE
SUITE 302
GRAND RAPIDS, MI
ZIP 49503

(616) 391-3315

DIPA SUMAN PATEL MD

Dermatology

555 MIDTOWNE ST NE
SUITE 301
GRAND RAPIDS, MI
ZIP 49503

(616) 248-8864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245572007, enumerated as an "organization" on March 20, 2013.

The provider is located at 555 MIDTOWNE ST NE SUITE 310 GRAND RAPIDS, MI 49503 and the phone number is (616) 252-4765.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.