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TANDY L. CHAMPION, D.O., P.C.
NPI 1619032000
Pediatrics in Grandville, MI

Active since December 26, 2006
4166 56TH ST., SW, GRANDVILLE, MI 49418(616) 249-1850(616) 532-8657 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Tandy L. Champion, D.o., P.c. NPPES

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

TANDY L. CHAMPION, D.O., P.C. (NPI 1619032000) is a healthcare organization registered as a pediatrics in Grandville, Michigan and active in the NPI registry since December 2006. The organization lists Tandy L. Champion, President, as its authorized official.

NPPES Registry Identity

NPI1619032000
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTANDY L. CHAMPION, D.O., P.C.
Location Address4166 56TH ST., SWGrandville, MI 49418-2371
Mailing Address4166 56th St., SwGrandville, MI 49418-2371 · (616) 249-1850 · Fax (616) 532-8657
Phone(616) 249-1850
Fax(616) 532-8657
Organization SubpartNo
Authorized OfficialTandy L. ChampionPresident · (616) 249-1850
Enumeration DateDecember 26, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1619032000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 5101011944
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101011944 (MI)
4166 56TH ST., SW, Grandville, MI 49418
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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

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 Tandy L. Champion, D.O., P.C.'s NPI number?

The NPI number for Tandy L. Champion, D.O., P.C. is 1619032000. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Tandy L. Champion, D.O., P.C. located?

Tandy L. Champion, D.O., P.C. is located at 4166 56th St., SW, Grandville, MI 49418. The listed phone number is (616) 249-1850.

What is Tandy L. Champion, D.O., P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Tandy L. Champion, D.O., P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.