GERIATRIC & EXTENDED REHABILITATION MEDICINE LLC
NPI 1609810985
Family Medicine - Geriatric Medicine in Grand Haven, MI

Q: What is Geriatric & Extended Rehabilitation Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since June 16, 2006

1159 S HARBOR DR, SUITE C-4, GRAND HAVEN, MI 49417(616) 844-4067(616) 844-4067 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Geriatric & Extended Rehabilitation Medicine Llc NPPES

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

GERIATRIC & EXTENDED REHABILITATION MEDICINE LLC (NPI 1609810985) is a healthcare organization registered as a geriatric medicine in Grand Haven, Michigan and active in the NPI registry since June 2006. The organization lists Donald Ezra Rutherford, Owner President, as its authorized official.

NPPES Registry Identity

NPI1609810985

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameGERIATRIC & EXTENDED REHABILITATION MEDICINE LLC

Location Address1159 S HARBOR DR, SUITE C-4Grand Haven, MI 49417-1777

Mailing Address1159 S Harbor, C4Grand Haven, MI 49417-1777 · (616) 844-4067 · Fax (616) 844-4067

Phone(616) 844-4067

Fax(616) 844-4067

Organization SubpartNo

Authorized OfficialDonald Ezra RutherfordOwner President · (616) 844-4067

Enumeration DateJune 16, 2006

Last NPPES UpdateOctober 4, 2011

✔ NPI 1609810985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in MI · 5101009705

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

1159 S HARBOR DR, Grand Haven, MI 49417

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Other Identifiers 2

Medicare PIN0N97720

Medicare PIN0N97730

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

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

DONALD EZRA RUTHERFORD D.O.

Family Medicine

1159 S HARBOR DR, SUITE C4
GRAND HAVEN, MI 49417

Ottawa County (616) 844-4068

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 Geriatric & Extended Rehabilitation Medicine LLC's NPI number?

The NPI number for Geriatric & Extended Rehabilitation Medicine LLC is 1609810985. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is Geriatric & Extended Rehabilitation Medicine LLC located?

Geriatric & Extended Rehabilitation Medicine LLC is located at 1159 S Harbor Dr Suite C-4, Grand Haven, MI 49417. The listed phone number is (616) 844-4067.

What is Geriatric & Extended Rehabilitation Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Geriatric & Extended Rehabilitation Medicine LLC was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.