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ADA VILLAGE MEDICAL
NPI 1639382211
Emergency Medicine in Grand Rapids, MI

Active since May 08, 2007
877 FOREST HILL AVE SE, SUITE C, GRAND RAPIDS, MI 49546(616) 954-0402(616) 954-0404 Get Directions Write a Review

NPPES record last updated: October 22, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ada Village Medical NPPES

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

ADA VILLAGE MEDICAL (NPI 1639382211) is a healthcare organization registered as an emergency medicine in Grand Rapids, Michigan and active in the NPI registry since May 2007. The organization lists Daryl M Lawrence-friedl, D.o., as its authorized official.

NPPES Registry Identity

NPI1639382211
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameWEST MICHIGAN FAMILY PRACTICE, PC
Location Address877 FOREST HILL AVE SE, SUITE CGrand Rapids, MI 49546-2380
Mailing Address877 Forest Hills, Suite CGrand Rapids, MI 49546-2380 · (616) 954-0402 · Fax (616) 954-0404
Phone(616) 954-0402
Fax(616) 954-0404
Organization SubpartNo
Authorized OfficialDaryl M Lawrence-friedlD.o. · (616) 954-0402
Enumeration DateMay 8, 2007
Last NPPES UpdateOctober 22, 2011
✔ NPI 1639382211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101010305
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101010305 (MI)
877 FOREST HILL AVE SE, Grand Rapids, MI 49546
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Other Names 1

Doing Business AsAda Village Medical

Other Identifiers 4

Medicare PIN0P24140MI
Other0D12216MI · Bcbs
OtherDH2054MI · Rr Medicare
Medicaid1639382211MI

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

Other Providers at the Same Location NPPES 19

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

DR. SUSAN H WAKEFIELD MD
Pediatrics
877 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-4465
ALISSA ENZENBERGER M.D.
Pediatrics
877 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 402-2618
DR. MARCY S LARSON MD
Pediatrics
877 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-4465
DR. CLAIRE D OLGREN MD
Pediatrics
877 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-4465
DR. MICHAEL S MEINDERTSMA MD
Pediatrics
877 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-4465
MELISSA DENIEL PLC
Orthopaedic Surgery
877 FOREST HILL AVE SE, SUITE C
GRAND RAPIDS, MI 49546
Kent County (616) 949-4400
DR. WILLIAM L BUSH MD
Pediatrics
877 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-4465
RENAE DENISE AMSHEY LMSW
Social Worker (Clinical)
877 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 258-7507

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 West Michigan Family Practice, PC's NPI number?

The NPI number for West Michigan Family Practice, PC is 1639382211. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is doing business as Ada Village Medical.

Where is West Michigan Family Practice, PC located?

West Michigan Family Practice, PC is located at 877 Forest Hill Ave SE Suite C, Grand Rapids, MI 49546. The listed phone number is (616) 954-0402.

What is West Michigan Family Practice, PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for West Michigan Family Practice, PC was last updated on October 22, 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.