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DOMENIC FEDERICO MD
NPI 1699722710
Obstetrics & Gynecology in Grand Rapids, MI

Active since May 27, 2006
3800 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534(616) 453-8225 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Domenic Federico Md NPPES

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

DOMENIC FEDERICO MD (NPI 1699722710) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301034117) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1699722710
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDOMENIC FEDERICOCredential: MD
Location Address3800 LAKE MICHIGAN DR NWGrand Rapids, MI 49534-4583
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 453-8225
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateFebruary 4, 2011
✔ NPI 1699722710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301034117
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3800 LAKE MICHIGAN DR NW, Grand Rapids, MI 49534
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified0M14680001MI
Medicare PIN0M74460321MI
Medicare UPINB48719

Other Providers at the Same Location NPPES 7

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

JANET MITCHELL RN, WHNP
Nurse Practitioner
3800 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-8225
MICHIGAN MEDICAL PATIENT CARE
Obstetrics & Gynecology
3800 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-8225
DIANA LYNN BITNER MD
Obstetrics & Gynecology
3800 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 267-8520
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Obstetrics & Gynecology
3800 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-8225
DAVID MENAPACE MD
Obstetrics & Gynecology
3800 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-8225
MICHIGAN MEDICAL, PC.
Durable Medical Equipment & Medical Supplies
3800 LAKE MICHIGAN DR NW, SUITE A
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-8225
MICHIGAN MEDICAL PATIENT CARE
Durable Medical Equipment & Medical Supplies
3800 LAKE MICHIGAN DR NW, SUITE A
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-8225

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 Domenic Federico's NPI number?

The NPI number for Domenic Federico is 1699722710. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Domenic Federico located?

Domenic Federico practices at 3800 Lake Michigan Dr NW, Grand Rapids, MI 49534. The listed phone number is (616) 453-8225.

What is Domenic Federico's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Domenic Federico was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.