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

Active since March 20, 2013
555 MIDTOWNE ST NE, SUITE 310, GRAND RAPIDS, MI 49503(616) 252-4765 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pennant Physician Services NPPES

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

PENNANT PHYSICIAN SERVICES (NPI 1245572007) is a healthcare organization registered as a pediatric cardiology in Grand Rapids, Michigan and active in the NPI registry since March 2013. The organization lists Frank E Belsito, Cmo, as its authorized official.

NPPES Registry Identity

NPI1245572007
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePENNANT PHYSICIAN SERVICES
Location Address555 MIDTOWNE ST NE, SUITE 310Grand Rapids, MI 49503-5729
Mailing Address2122 Health Dr Sw, Suite 230Wyoming, MI 49519-9698
Phone(616) 252-4765
Organization SubpartNo
Authorized OfficialFrank E BelsitoCmo · (616) 252-5211
Enumeration DateMarch 20, 2013
✔ NPI 1245572007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
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.
555 MIDTOWNE ST NE, Grand Rapids, MI 49503
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

BRADLEY BENGTSON, M.D. PC
Plastic Surgery
555 MIDTOWNE ST NE, SUITE 110
GRAND RAPIDS, MI 49503
Kent County (616) 588-8880
OAM SURGERY CENTER AT MIDTOWNE, LLC
Clinic/Center (Ambulatory Surgical)
555 MIDTOWNE ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Kent County (616) 552-5000
DIPA SUMAN PATEL MD
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Kent County (616) 248-8864
MICHELLE MIZE EMERY MD
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Kent County (616) 248-8864
MICHELLE A KLYN MD
Obstetrics & Gynecology
555 MIDTOWNE ST NE, STE 450
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 302
GRAND RAPIDS, MI 49503
Kent County (616) 391-3315
DR. DAVID J BIELEMA MD
Orthopaedic Surgery
555 MIDTOWNE ST NE, SUITE 105
GRAND RAPIDS, MI 49503
Kent County (616) 459-7101
MRS. ROXANNE KAY CORNELIUS PA-C
Physician Assistant (Medical)
555 MIDTOWNE ST NE, SUITE 110
GRAND RAPIDS, MI 49503
Kent County (616) 588-8880

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 Pennant Physician Services's NPI number?

The NPI number for Pennant Physician Services is 1245572007. It was assigned to this organization in the NPPES registry on March 20, 2013.

Where is Pennant Physician Services located?

Pennant Physician Services is located at 555 Midtowne St NE Suite 310, Grand Rapids, MI 49503. The listed phone number is (616) 252-4765.

What is Pennant Physician Services's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Pennant Physician Services was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.