GRAND RIVER GASTROENTEROLOGY PC
NPI 1164470472
Internal Medicine - Gastroenterology in Grand Rapids, MI
NPI Status: Active since May 05, 2006
Contact Information
310 LAFAYETTE AVE SE
SUITE 400
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 752-6525
Fax: (616) 752-6556
- Organization
- Internal Medicine
- Gastroenterology
- Accepts Insurance
- CLIA Number: 23D0380155
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About GRAND RIVER GASTROENTEROLOGY PC
This page provides the complete NPI Profile along with additional information for Grand River Gastroenterology Pc, an internist established in Grand Rapids, Michigan operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1164470472 assigned on May 2006. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dena B Rumisek (Billing)
- NPI
- 1164470472
- Provider Name
- GRAND RIVER GASTROENTEROLOGY PC
- Entity Type
- Organization
- Location Address
- 310 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503
- Location Phone
- (616) 752-6525
- Location Fax
- (616) 752-6556
- Mailing Address
- 310 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503
- Mailing Phone
- (616) 752-6525
- Mailing Fax
- (616) 752-6556
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-05-2006
- Last Update Date
- 03-21-2022
- Code Navigator
An internist like Grand River Gastroenterology Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0380155
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- STEVEN A. CRANE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Grand River Gastroenterology Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 4 | 7 | 0 | 4 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 7 | 0 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 7 + 0 + 4 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1164470472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326043829 | DR. WILLIAM GENE HEERINGA M.D. Individual | Specialist | 310 LAFAYETTE AVE SE STE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1316942816 | DR. STEVEN A. CRANE M.D. Individual | Specialist | 310 LAFAYETTE AVE SE STE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1043215544 | DR. MARTIN P. GREYDANUS M.D. Individual | Specialist | 310 LAFAYETTE AVE SE STE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1689679185 | DR. KENNETH S. LOWN M.D. Individual | Specialist | 310 LAFAYETTE AVE SE STE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1790781987 | DR. PAUL O. FARR M.D. Individual | Specialist | 310 LAFAYETTE AVE SE STE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1245236439 | DR. STEPHEN T. WEBSTER M.D. Individual | Specialist | 310 LAFAYETTE AVE SE STE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1114970621 | DR. LENNOX HUGH FORREST PH.D. Individual | Psychologist (Counseling) | 310 LAFAYETTE AVE SE SUITE 325 GRAND RAPIDS, MI 49503 (616) 249-8486 |
| 1265475099 | ROBERT LEWIS ALEXANDER MD Individual | Specialist | 310 LAFAYETTE AVE SE SUITE 405 GRAND RAPIDS, MI 49503 (616) 291-9288 |
| 1902834765 | BRANDEE LEIGH PEIKERT PH.D., LLP Individual | Psychologist | 310 LAFAYETTE AVE SE GRAND RAPIDS, MI 49503 (616) 913-1400 |
| 1033144266 | PAUL D HARRIS DO Individual | Internal Medicine (Pulmonary Disease) | 310 LAFAYETTE AVE SE STE 415 GRAND RAPIDS, MI 49503 (616) 685-5666 |
| 1619060811 | PATRICIA ANN WARSEN LMSW Individual | Social Worker | 310 LAFAYETTE AVE SE GRAND RAPIDS, MI 49503 (616) 913-1400 |
| 1225035843 | PATRICIA K. RAU MSN, CGRN, ANP Individual | Nurse Practitioner (Adult Health) | 310 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1548382773 | MR. CURTIS RANDALL WEAVER MD Individual | Internal Medicine (Gastroenterology) | 310 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1225464555 | BETH STEVENSON NP Individual | Nurse Practitioner (Family) | 310 LAFAYETTE AVE SE SUITE 301 GRAND RAPIDS, MI 49503 (616) 685-6900 |
| 1730538489 | MICHELLE WEBB FNP Individual | Nurse Practitioner (Family) | 310 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1073966628 | ORENA J KIRCHNER FNP Individual | Nurse Practitioner (Family) | 310 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503 (616) 752-6525 |
| 1447788534 | GRAND ANESTHESIA PLLC Organization | Anesthesiology | 310 LAFAYETTE AVE SE GRAND RAPIDS, MI 49503 (972) 331-0707 |
| 1467905133 | TIFFANY D REBANDT ANP Individual | Nurse Practitioner (Adult Health) | 310 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503 (616) 752-6832 |
| 1508875667 | PINE REST CHRISTIAN MENTAL HEATTH SERVICES Organization | Psychiatry & Neurology (Psychiatry) | 310 LAFAYETTE AVE SE GRAND RAPIDS, MI 49503 (616) 913-1400 |
| 1114395803 | LUCY LEDESMA NP Individual | Nurse Practitioner (Adult Health) | 310 LAFAYETTE AVE SE STE 410 GRAND RAPIDS, MI 49503 (616) 685-8200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164470472, enumerated in the NPI registry as an "organization" on May 05, 2006
The provider is located at 310 Lafayette Ave Se Suite 400 Grand Rapids, Mi 49503 and the phone number is (616) 752-6525
This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D0380155 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.