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DECATUR VEIN CLINIC
NPI 1427050046
Surgery - Vascular Surgery in Grand Rapids, MI

Active since August 12, 2005
3152 PEREGRINE DR NE, 100, GRAND RAPIDS, MI 49525(616) 447-0707 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Decatur Vein Clinic NPPES

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

DECATUR VEIN CLINIC (NPI 1427050046) is a healthcare organization registered as a vascular surgery in Grand Rapids, Michigan and active in the NPI registry since August 2005. The organization lists David R Decatur, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427050046
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameDECATUR VEIN CLINIC, MICHIGAN, PC
Location Address3152 PEREGRINE DR NE, 100Grand Rapids, MI 49525-9723
Mailing AddressPo Box 4237Carmel, IN 46082-4237 · (317) 218-2800
Phone(616) 447-0707
Organization SubpartNo
Authorized OfficialDavid R DecaturCeo · (317) 218-2800
Enumeration DateAugust 12, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1427050046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3152 PEREGRINE DR NE, Grand Rapids, MI 49525
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Other Names 1

Doing Business AsDecatur Vein Clinic

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 9

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

MORGAN BOURGEOIS
Recreation Therapist
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 643-0833
DR. KRISTIN SABIN WILLEY OTD, OTR/L
Occupational Therapist (Pediatrics)
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 643-0833
DR. SAVANNAH EMILY LYNN LOWE OD
Optometrist
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 447-1444
DR. ALYSSA LAUREN PARZ O.D.
Optometrist (Vision Therapy)
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 447-1444
DR. JAMES B BRENNAN D.D.S.
Dentist
3152 PEREGRINE DR NE, STE 200
GRAND RAPIDS, MI 49525
Kent County (616) 447-3660
WORLD WIDE VISION THERAPY CENTERS, L.L.C.
Optometrist (Vision Therapy)
3152 PEREGRINE DR NE, SUITE C205
GRAND RAPIDS, MI 49525
Kent County (616) 447-1444
MISS CAITLIN EILEEN WILTERINK MS, CCC-SLP
Speech-Language Pathologist
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 643-0833
CODY KALKMAN
Occupational Therapist
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 643-0833

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 Decatur Vein Clinic, Michigan, PC's NPI number?

The NPI number for Decatur Vein Clinic, Michigan, PC is 1427050046. It was assigned to this organization in the NPPES registry on August 12, 2005. The provider is doing business as Decatur Vein Clinic.

Where is Decatur Vein Clinic, Michigan, PC located?

Decatur Vein Clinic, Michigan, PC is located at 3152 Peregrine Dr NE 100, Grand Rapids, MI 49525. The listed phone number is (616) 447-0707.

What is Decatur Vein Clinic, Michigan, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Decatur Vein Clinic, Michigan, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.