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ADVANCED MEDICAL GROUP
NPI 1932741907
General Practice in Hudsonville, MI

Active since October 11, 2019
3360 PROSPECT ST, HUDSONVILLE, MI 49426(616) 669-6702(616) 797-4025 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2020, Nov 1, 2019, Oct 11, 2019 (3 updates tracked since 2019).

About Advanced Medical Group NPPES

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

ADVANCED MEDICAL GROUP (NPI 1932741907) is a healthcare organization registered as a general practice in Hudsonville, Michigan and active in the NPI registry since October 2019. The organization lists Benjamin Eovaldi, Provider, as its authorized official.

NPPES Registry Identity

NPI1932741907
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADVANCED MEDICAL GROUP
Location Address3360 PROSPECT STHudsonville, MI 49426-1420
Mailing Address3360 Prospect StHudsonville, MI 49426-1420 · (616) 669-6702 · Fax (616) 797-4025
Phone(616) 669-6702
Fax(616) 797-4025
Organization SubpartNo
Authorized OfficialBenjamin EovaldiProvider · (616) 669-6702
Enumeration DateOctober 11, 2019
Last NPPES UpdateFebruary 3, 20203 updates tracked since enumeration
✔ NPI 1932741907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3360 PROSPECT ST, Hudsonville, MI 49426
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Other Identifiers 4

Other14554401Caqh#
Other1902155690Npi Type 1
Other5315213606Mi Controlled Substance
Other5101019505Mi Osteopathic Medical License

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 4

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

DR. JENNA ESSENBURG DC, ATC
Chiropractor
3360 PROSPECT ST
HUDSONVILLE, MI 49426
Ottawa County (616) 669-6702
DANIEL LEE OSBORN DC
Chiropractor
3360 PROSPECT ST
HUDSONVILLE, MI 49426
Ottawa County (616) 669-6702
HUDSONVILLE CHIROPRACTIC, PLLC
Chiropractor
3360 PROSPECT ST
HUDSONVILLE, MI 49426
Ottawa County (616) 669-6702
NUEVO LEON DEVELOPMENTS PLLC
Chiropractor
3360 PROSPECT ST
HUDSONVILLE, MI 49426
Ottawa County (616) 669-6701

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 Advanced Medical Group's NPI number?

The NPI number for Advanced Medical Group is 1932741907. It was assigned to this organization in the NPPES registry on October 11, 2019.

Where is Advanced Medical Group located?

Advanced Medical Group is located at 3360 Prospect St, Hudsonville, MI 49426. The listed phone number is (616) 669-6702.

What is Advanced Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Advanced Medical Group was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.