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EXECUTIVE FAMILY AND SPORTS
NPI 1336201565
Family Medicine in Grand Rapids, MI

Active since December 14, 2006
771 KENMOOR AVE SE, GRAND RAPIDS, MI 49546(616) 734-0335(616) 949-8540 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Executive Family And Sports NPPES

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

EXECUTIVE FAMILY AND SPORTS (NPI 1336201565) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since December 2006. The organization lists Christopher Zielinski, President, as its authorized official.

NPPES Registry Identity

NPI1336201565
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHRIS ZIELINSKI DOPC
Location Address771 KENMOOR AVE SEGrand Rapids, MI 49546-2370
Mailing AddressPo Box 8306Kentwood, MI 49518-8306 · (616) 734-0335 · Fax (616) 949-8540
Phone(616) 734-0335
Fax(616) 949-8540
Organization SubpartNo
Authorized OfficialChristopher ZielinskiPresident · (616) 734-0335
Enumeration DateDecember 14, 2006
Last NPPES UpdateDecember 18, 2007
✔ NPI 1336201565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101013068
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.
771 KENMOOR AVE SE, Grand Rapids, MI 49546
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Other Names 1

Doing Business AsExecutive Family And Sports

Other Identifiers 1

Medicare PINOP22390MI

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 2

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

ANDREW J BARKER DO PC
Physical Medicine & Rehabilitation
771 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-3479
SHAWN L. GAUTHIER
Social Worker (Clinical)
771 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 301-3479

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 Chris Zielinski Dopc's NPI number?

The NPI number for Chris Zielinski Dopc is 1336201565. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Executive Family And Sports.

Where is Chris Zielinski Dopc located?

Chris Zielinski Dopc is located at 771 Kenmoor Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 734-0335.

What is Chris Zielinski Dopc'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 Chris Zielinski Dopc was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.