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GRAND RAPIDS ADDICTION MEDICINE SPECIALISTS PC
NPI 1780642355
Internal Medicine in Grand Rapids, MI

Active since May 03, 2006
4100 LAKE DR SE, SUITE 305, GRAND RAPIDS, MI 49546(616) 954-0600(616) 954-1675 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grand Rapids Addiction Medicine Specialists Pc NPPES

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

GRAND RAPIDS ADDICTION MEDICINE SPECIALISTS PC (NPI 1780642355) is a healthcare organization registered as an internal medicine in Grand Rapids, Michigan and active in the NPI registry since May 2006. The organization lists Khan Javan Nedd, President, as its authorized official.

NPPES Registry Identity

NPI1780642355
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRAND RAPIDS ADDICTION MEDICINE SPECIALISTS PC
Location Address4100 LAKE DR SE, SUITE 305Grand Rapids, MI 49546-8292
Mailing AddressPo Box 1682Grand Rapids, MI 49501-1682 · (616) 954-0600 · Fax (616) 954-1675
Phone(616) 954-0600
Fax(616) 954-1675
Organization SubpartNo
Authorized OfficialKhan Javan NeddPresident · (616) 954-0600
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 31, 2007
✔ NPI 1780642355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301047295
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4100 LAKE DR SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0P14500MI

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 20

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

TELLA KATARINA MINKKINEN PT
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
RANDALL SCOTT MEISNER MD
Internal Medicine (Gastroenterology)
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7414
DR. MARYKAY LEHMAN M.D.
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 949-8244
GUSTAVO CUMBO-NACHELI
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
JANET DOMINOWSKI RD
Dietitian, Registered
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8950
WALTER M BRAUNOHLER M.D.
Orthopaedic Surgery
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8860
JILL C THORPE PA-C
Physician Assistant
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 774-2414
PATRICIA BEGGS AT, ATC
Specialist/Technologist (Athletic Trainer)
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8565

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 Grand Rapids Addiction Medicine Specialists PC's NPI number?

The NPI number for Grand Rapids Addiction Medicine Specialists PC is 1780642355. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Grand Rapids Addiction Medicine Specialists PC located?

Grand Rapids Addiction Medicine Specialists PC is located at 4100 Lake Dr SE Suite 305, Grand Rapids, MI 49546. The listed phone number is (616) 954-0600.

What is Grand Rapids Addiction Medicine Specialists PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Grand Rapids Addiction Medicine Specialists PC was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.