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WESTERN MICHIGAN PEDIATRICS, PC
NPI 1932227915
Pediatrics in Grand Rapids, MI

Active since March 27, 2007CLIA 23D0697888 · Waiver
710 KENMOOR AVE SE, SUITE 110, GRAND RAPIDS, MI 49546(616) 949-6112(616) 949-8530 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Western Michigan Pediatrics, Pc NPPES

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

WESTERN MICHIGAN PEDIATRICS, PC (NPI 1932227915) is a healthcare organization registered as a pediatrics in Grand Rapids, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Jennifer L Van Zee, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1932227915
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWESTERN MICHIGAN PEDIATRICS, PC
Location Address710 KENMOOR AVE SE, SUITE 110Grand Rapids, MI 49546-2379
Mailing Address721 Kenmoor Ave SeGrand Rapids, MI 49546 · (616) 949-6112 · Fax (616) 949-8530
Phone(616) 949-6112
Fax(616) 949-8530
Organization SubpartNo
Authorized OfficialJennifer L Van ZeeTreasurer · (616) 949-6112
Enumeration DateMarch 27, 2007
Last NPPES UpdateSeptember 27, 2018
✔ NPI 1932227915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
710 KENMOOR AVE SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Identifiers 1

Other0D16244MI · Bcbs Of Michigan Pin

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0697888

Western Michigan Pediatrics · Grand Rapids, MI
Active · expires Jan 3, 2027
CLIA Number23D0697888
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorShawna Pierce
Laboratory Phone(616) 949-6112
Laboratory LocationWestern Michigan Pediatrics721 Kenmoor Avenue SE, Grand Rapids, MI 49546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

CHRISTOPHER ROSS RUSSO MD
Pain Medicine (Interventional Pain Medicine)
710 KENMOOR AVE SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 588-7246
INTERVENTION INSIGHTS INC.
Clinic/Center (Genetics)
710 KENMOOR AVE SE, STE 120
GRAND RAPIDS, MI 49546
Kent County (616) 949-7500
MS. LINDA LOU FEIGHNER RN BSN CPNP
Nurse Practitioner
710 KENMOOR AVE SE, SUITE 110
GRAND RAPIDS, MI 49546
Kent County (616) 949-5043
JAVERY PAIN INSTITUTE PC
Pain Medicine (Interventional Pain Medicine)
710 KENMOOR AVE SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 588-7246
ANN CAROL SWAGMAN RN CPNP
Nurse Practitioner (Pediatrics)
710 KENMOOR AVE SE, SUITE 110
GRAND RAPIDS, MI 49546
Kent County (616) 949-6112
MARTIN J BURY M.D.
Specialist
710 KENMOOR AVE SE, SUITE 100
GRAND RAPIDS, MI 49546
Kent County (616) 954-9800
JENNIFER L VAN ZEE M.D.
Pediatrics
710 KENMOOR AVE SE, SUITE 110
GRAND RAPIDS, MI 49546
Kent County (616) 949-6112
NEWTON, FRANK & BLICKLEY, MD, PC
Obstetrics & Gynecology
710 KENMOOR AVE SE, SUITE 100
GRAND RAPIDS, MI 49546
Kent County (616) 957-1510

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 Western Michigan Pediatrics, PC's NPI number?

The NPI number for Western Michigan Pediatrics, PC is 1932227915. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Western Michigan Pediatrics, PC located?

Western Michigan Pediatrics, PC is located at 710 Kenmoor Ave SE Suite 110, Grand Rapids, MI 49546. The listed phone number is (616) 949-6112.

What is Western Michigan Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Western Michigan Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0697888) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Western Michigan Pediatrics, PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Western Michigan Pediatrics, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Michigan Pediatrics, PC was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.