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GRAND RAPIDS THORACIC SURGERY, PLLC
NPI 1336504760
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Grand Rapids, MI

Active since December 30, 2015
4500 CASCADE RD SE, SUITE 210, GRAND RAPIDS, MI 49546(616) 259-7341(616) 259-7642 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Rapids Thoracic Surgery, Pllc NPPES

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

GRAND RAPIDS THORACIC SURGERY, PLLC (NPI 1336504760) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Grand Rapids, Michigan and active in the NPI registry since December 2015. The organization lists Lourens J. Willekes, Owner, as its authorized official.

NPPES Registry Identity

NPI1336504760
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameGRAND RAPIDS THORACIC SURGERY, PLLC
Location Address4500 CASCADE RD SE, SUITE 210Grand Rapids, MI 49546-3665
Mailing Address4500 Cascade Rd Se, Suite 210Grand Rapids, MI 49546-3665 · (616) 259-7341 · Fax (616) 259-7642
Phone(616) 259-7341
Fax(616) 259-7642
Organization SubpartNo
Authorized OfficialLourens J. WillekesOwner · (616) 259-7341
Enumeration DateDecember 30, 2015
✔ NPI 1336504760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in MI · 4301104138
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
4500 CASCADE RD SE, Grand Rapids, MI 49546
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

DR. MARK LOUIS SALHANEY DDS
Dentist (General Practice)
4500 CASCADE RD SE, STE. 107
GRAND RAPIDS, MI 49546
Kent County (616) 957-1304
DR. DANIEL PAUL LINGENFELTER D.D.S.
Dentist
4500 CASCADE RD SE, SUITE #107
GRAND RAPIDS, MI 49546
Kent County (616) 957-1304
MOBILE ANESTHESIOLOGISTS OF MICHIGAN PLLC
Anesthesiology
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (773) 355-5300
LAUREN BLEISCH
Counselor (Mental Health)
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 277-7533
JOSEPH ALVA SCIARRETTA MSW, LCSW
Social Worker (Clinical)
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 209-8403
ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC
Dentist (Oral and Maxillofacial Radiology)
4500 CASCADE RD SE, SUITE #208
GRAND RAPIDS, MI 49546
Kent County (616) 977-5000
DR. KIM L ERICKSON D.D.S.
Dentist (Oral and Maxillofacial Pathology)
4500 CASCADE RD SE, SUITE #208
GRAND RAPIDS, MI 49546
Kent County (616) 977-5000
MR. DARIUS LAMONT RANDALL LMSW
Counselor (Mental Health)
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 443-4121

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 Grand Rapids Thoracic Surgery, PLLC's NPI number?

The NPI number for Grand Rapids Thoracic Surgery, PLLC is 1336504760. It was assigned to this organization in the NPPES registry on December 30, 2015.

Where is Grand Rapids Thoracic Surgery, PLLC located?

Grand Rapids Thoracic Surgery, PLLC is located at 4500 Cascade Rd SE Suite 210, Grand Rapids, MI 49546. The listed phone number is (616) 259-7341.

What is Grand Rapids Thoracic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Grand Rapids Thoracic Surgery, PLLC was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.