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JACK R. ROOSSIEN JR., M.D.P.C.
NPI 1740406982
Family Medicine in West Olive, MI

Active since April 17, 2007
15151 STANTON ST, SUITE A, WEST OLIVE, MI 49460(616) 296-1020(616) 296-1030 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack R. Roossien Jr., M.d.p.c. NPPES

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

JACK R. ROOSSIEN JR., M.D.P.C. (NPI 1740406982) is a healthcare organization registered as a family medicine in West Olive, Michigan and active in the NPI registry since April 2007. The organization lists Jack Richard Roossien, President, as its authorized official.

NPPES Registry Identity

NPI1740406982
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACK R. ROOSSIEN JR., M.D.P.C.
Location Address15151 STANTON ST, SUITE AWest Olive, MI 49460-8543
Mailing Address15151 Stanton St, Suite AWest Olive, MI 49460-8543 · (616) 296-1020 · Fax (616) 296-1030
Phone(616) 296-1020
Fax(616) 296-1030
Organization SubpartNo
Authorized OfficialJack Richard RoossienPresident · (616) 296-1020
Enumeration DateApril 17, 2007
Last NPPES UpdateMay 27, 2008
✔ NPI 1740406982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301050437
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15151 STANTON ST, West Olive, MI 49460
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Other Identifiers 4

Medicare UPINE34750MI
Medicaid4214810MI
OtherON13120MI · Medicare Group Number
Medicare PINN13120001MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

SEAN M CUNNINGHAM DO
Family Medicine
15151 STANTON ST
WEST OLIVE, MI 49460
Ottawa County (616) 685-1950
DR. JACK RICHARD ROOSSIEN JR. M.D.
Family Medicine
15151 STANTON ST, SUITE A
WEST OLIVE, MI 49460
Ottawa County (616) 296-1020
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Physical Therapy)
15151 STANTON ST, STE B
WEST OLIVE, MI 49460
Ottawa County (616) 844-1290
MERCY HEALTH PARTNERS
Clinic/Center (Rural Health)
15151 STANTON ST
WEST OLIVE, MI 49460
Ottawa County (616) 685-1950
LINDSEY ANN ROOSSIEN PA-C
Family Medicine (Adult Medicine)
15151 STANTON ST
WEST OLIVE, MI 49460
Ottawa County (616) 296-1020
STANTON CROSSINGS PHYSICAL THERAPY LLC
Physical Therapist
15151 STANTON ST, SUITE B
WEST OLIVE, MI 49460
Ottawa County (616) 296-9235
MRS. CARLY ANN GILBERT FNP-C
Nurse Practitioner (Family)
15151 STANTON ST
WEST OLIVE, MI 49460
Ottawa County (616) 685-1950

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 Jack R. Roossien Jr., M.D.P.C.'s NPI number?

The NPI number for Jack R. Roossien Jr., M.D.P.C. is 1740406982. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Jack R. Roossien Jr., M.D.P.C. located?

Jack R. Roossien Jr., M.D.P.C. is located at 15151 Stanton St Suite A, West Olive, MI 49460. The listed phone number is (616) 296-1020.

What is Jack R. Roossien Jr., M.D.P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack R. Roossien Jr., M.D.P.C. was last updated on May 27, 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.