PEDIATRIC SURGEONS OF WEST MICHIGAN PC
NPI 1477516110
Surgery in Grand Rapids, MI

Active since April 11, 2006
330 BARCLAY NE, SUITE 202, GRAND RAPIDS, MI 49503(616) 458-1722(616) 458-0061 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Surgeons Of West Michigan Pc NPPES

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

PEDIATRIC SURGEONS OF WEST MICHIGAN PC (NPI 1477516110) is a healthcare organization registered as a surgery in Grand Rapids, Michigan and active in the NPI registry since April 2006. The organization lists Jennifer L Jamula, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1477516110
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePEDIATRIC SURGEONS OF WEST MICHIGAN PC
Location Address330 BARCLAY NE, SUITE 202Grand Rapids, MI 49503
Mailing Address330 Barclay Ne, Suite 202Grand Rapids, MI 49503 · (616) 458-1722 · Fax (616) 458-0061
Fax(616) 458-0061
Organization SubpartNo
Authorized OfficialJennifer L JamulaPractice Manager · (616) 458-1722
Enumeration DateApril 11, 2006
Last NPPES UpdateMarch 8, 2017
NPI 1477516110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
330 BARCLAY NE, Grand Rapids, MI 49503

Other Identifiers 1

Other020D176760Blue Cross Blue Shield

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pediatrics (Pediatric Cardiology)
330 BARCLAY NE, #201
GRAND RAPIDS, MI 49503

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 Pediatric Surgeons Of West Michigan PC's NPI number?

The NPI number for Pediatric Surgeons Of West Michigan PC is 1477516110. It was assigned to this organization in the NPPES registry on April 11, 2006.

Where is Pediatric Surgeons Of West Michigan PC located?

Pediatric Surgeons Of West Michigan PC is located at 330 Barclay NE Suite 202, Grand Rapids, MI 49503. The listed phone number is (616) 458-1722.

What is Pediatric Surgeons Of West Michigan PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Pediatric Surgeons Of West Michigan PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pediatric Surgeons Of West Michigan PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Surgeons Of West Michigan PC was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.