ADA VILLAGE MEDICAL
NPI 1639382211
Emergency Medicine in Grand Rapids, MI
NPI Status: Active since May 08, 2007
Contact Information
877 FOREST HILL AVE SE
SUITE C
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 954-0402
Fax: (616) 954-0404
- Organization
- Emergency Medicine
About ADA VILLAGE MEDICAL
This page provides the complete NPI Profile along with additional information for Ada Village Medical, a provider established in Grand Rapids, Michigan operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1639382211 assigned on May 2007. The practitioner's primary taxonomy code is 207P00000X with license number 5101010305 (MI). The provider is registered as an organization and their NPI record was last updated 15 years ago. Ada Village Medical operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Ada Village Medical. The authorized official of this NPI record is Daryl M Lawrence-friedl D.o. (D.o.)
- NPI
- 1639382211
- Provider Legal Name
- WEST MICHIGAN FAMILY PRACTICE, PC
- Other Organization Name
- ADA VILLAGE MEDICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 877 FOREST HILL AVE SE SUITE C GRAND RAPIDS, MI 49546
- Location Phone
- (616) 954-0402
- Location Fax
- (616) 954-0404
- Mailing Address
- 877 FOREST HILLS SUITE C GRAND RAPIDS, MI 49546
- Mailing Phone
- (616) 954-0402
- Mailing Fax
- (616) 954-0404
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2007
- Last Update Date
- 10-22-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101010305
- License State
- MI
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 5101010305 (MI) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0P24140 | MEDICARE PIN (08) | MI | |
| 0D12216 | OTHER (01) | MI | BCBS |
| DH2054 | OTHER (01) | MI | RR MEDICARE |
| 1639382211 | MEDICAID (05) | MI |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1639382211, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639382211, enumerated as an "organization" on May 08, 2007.
The provider is located at 877 FOREST HILL AVE SE SUITE C GRAND RAPIDS, MI 49546 and the phone number is (616) 954-0402.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.
