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DR. JOHN MICHAEL FORMOLO M.D.
NPI 1619921475
Internal Medicine - Cardiovascular Disease in Grand Rapids, MI

Active since May 19, 2006
1000 E PARIS AVE SE, STE 200, GRAND RAPIDS, MI 49546(616) 949-8554 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Michael Formolo M.d. NPPES

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

DR. JOHN MICHAEL FORMOLO M.D. (NPI 1619921475) is an individual cardiovascular disease provider in Grand Rapids, Michigan, licensed in Michigan (JF036515) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1619921475
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOHN MICHAEL FORMOLOCredential: M.D.
Location Address1000 E PARIS AVE SE, STE 200Grand Rapids, MI 49546-3680
Mailing Address1000 E Paris Ave Se, Ste 200Grand Rapids, MI 49546-3691
Phone(616) 949-8554
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 31, 2008
✔ NPI 1619921475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · JF036515
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1000 E PARIS AVE SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Identifiers 3

Medicare PINN90310006MI
OtherP00322545MI · Medicare Rrr
Medicare UPINB44860MI

Other Providers at the Same Location NPPES 20

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

DR. NAVNEET SINGH MANDER M.D.
Urology
1000 E PARIS AVE SE, SUITE 230
GRAND RAPIDS, MI 49546
Kent County (616) 949-4340
GENENE EVELYN SOBOLESKI RBT
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 854-1116
JANNAT SAKI
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818
COBY K ODATE
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818
JAVONTE BRIEON JACKSON RBT
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 854-1116
SAMANTHA PRINCE
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818
ROY W WADDELL M.D.
Orthopaedic Surgery
1000 E PARIS AVE SE, SUITE 215
GRAND RAPIDS, MI 49546
Kent County (616) 949-8945
SERENA BLASKO BEHAVIOR TECHNICIAN
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818

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 John Formolo's NPI number?

The NPI number for John Formolo is 1619921475. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is John Formolo located?

John Formolo practices at 1000 E Paris Ave SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 949-8554.

What is John Formolo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for John Formolo was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.