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WEST MICHIGAN FAMILY MEDICINE-KENTWOOD, PLC
NPI 1285826297
Family Medicine in Kentwood, MI

Active since August 14, 2007
2120 43RD ST SE, SUITE 200, KENTWOOD, MI 49508(616) 455-4114(616) 455-4454 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Michigan Family Medicine-kentwood, Plc NPPES

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

WEST MICHIGAN FAMILY MEDICINE-KENTWOOD, PLC (NPI 1285826297) is a healthcare organization registered as a family medicine in Kentwood, Michigan and active in the NPI registry since August 2007. The organization lists Wendy Johnson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285826297
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWEST MICHIGAN FAMILY MEDICINE-KENTWOOD, PLC
Location Address2120 43RD ST SE, SUITE 200Kentwood, MI 49508-3772
Mailing Address2120 43rd St Se, Suite 200Kentwood, MI 49508-3772 · (616) 455-4114 · Fax (616) 455-4454
Phone(616) 455-4114
Fax(616) 455-4454
Organization SubpartYesParent: West Michigan Family Medicine, Pc
Authorized OfficialWendy JohnsonOffice Manager · (616) 455-4114
Enumeration DateAugust 14, 2007
✔ NPI 1285826297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2120 43RD ST SE, Kentwood, MI 49508
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Other Identifiers 12

Medicare UPINF71181
Medicare UPING15579
Medicare PINM80080001MI
Medicare UPINF98016
Medicaid4387357MI
Medicaid4092978MI
Medicaid4092931MI
Medicare UPINF70308
Medicaid4092969MI
Medicare PINM80080003MI
Medicare PINM80080008MI
Medicare PINM80080002MI

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 18

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

KERRI BOEVE DPT
Physical Therapist
2120 43RD ST SE, SUITE 100
GRAND RAPIDS, MI 49508
Kent County (616) 281-1144
THOMAS J HULST PT
Physical Therapist
2120 43RD ST SE, SUITE 100
GRAND RAPIDS, MI 49508
Kent County (616) 281-1144
STEPHEN MALVITZ DPT
Physical Therapist
2120 43RD ST SE, SUITE 100
GRAND RAPIDS, MI 49508
Kent County (616) 281-1144
JOHN E JEPSEN PT
Physical Therapist
2120 43RD ST SE, SUITE 100
GRAND RAPIDS, MI 49508
Kent County (616) 281-1144
LOWELL RAY BURSCH MD
Surgery
2120 43RD ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 455-5443
JESSICA ANN KUNCAITIS PA-C
Physician Assistant
2120 43RD ST SE, SUITE 200
KENTWOOD, MI 49508
Kent County (616) 455-4114
LINDSAY MARIE GOCKENBACH PT, DPT
Physical Therapist
2120 43RD ST SE, SUITE 100
GRAND RAPIDS, MI 49508
Kent County (616) 281-1144
DR. EDWARD THOMAS STERN M.D.
Allergy & Immunology
2120 43RD ST SE, STE 700
GRAND RAPIDS, MI 49508
Kent County (616) 455-6700

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 West Michigan Family Medicine-Kentwood, Plc's NPI number?

The NPI number for West Michigan Family Medicine-Kentwood, Plc is 1285826297. It was assigned to this organization in the NPPES registry on August 14, 2007.

Where is West Michigan Family Medicine-Kentwood, Plc located?

West Michigan Family Medicine-Kentwood, Plc is located at 2120 43rd St SE Suite 200, Kentwood, MI 49508. The listed phone number is (616) 455-4114.

What is West Michigan Family Medicine-Kentwood, Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for West Michigan Family Medicine-Kentwood, Plc was last updated on August 14, 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.