GRAND RAPIDS THORACIC SURGERY, PLLC
NPI 1336504760
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Grand Rapids, MI

NPI Status: Active since December 30, 2015

Contact Information

4500 CASCADE RD SE
SUITE 210
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 259-7341
Fax: (616) 259-7642

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About GRAND RAPIDS THORACIC SURGERY, PLLC

This page provides the complete NPI Profile along with additional information for Grand Rapids Thoracic Surgery, Pllc, a provider established in Grand Rapids, Michigan operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1336504760 assigned on December 2015. The practitioner's primary taxonomy code is 208G00000X with license number 4301104138 (MI). The provider is registered as an organization and their NPI record was last updated 10 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 Lourens J. Willekes Ii M.d. (Owner)

NPI
1336504760
Provider Name
GRAND RAPIDS THORACIC SURGERY, PLLC
Entity Type
Organization
Location Address
4500 CASCADE RD SE SUITE 210 GRAND RAPIDS, MI 49546
Location Phone
(616) 259-7341
Location Fax
(616) 259-7642
Mailing Address
4500 CASCADE RD SE SUITE 210 GRAND RAPIDS, MI 49546
Mailing Phone
(616) 259-7341
Mailing Fax
(616) 259-7642
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2015
Last Update Date
12-30-2015
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301104138
License State
MI
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Group Taxonomy 193400000X MULTIPLE 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LOURENS J. WILLEKES II M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(616) 259-7341

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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.
1336504760
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661008712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 0 + 0 + 8 + 7 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336504760 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568486769DR. KIM L ERICKSON D.D.S.
Individual
Dentist (Oral and Maxillofacial Pathology)4500 CASCADE RD SE SUITE #208
GRAND RAPIDS, MI 49546
(616) 977-5000
1013032010DR. MARK LOUIS SALHANEY DDS
Individual
Dentist (General Practice)4500 CASCADE RD SE STE. 107
GRAND RAPIDS, MI 49546
(616) 957-1304
1740307321DR. JAMES L ELDERSVELD DDS
Individual
Dentist (General Practice)4500 CASCADE RD SE SUITE 100
GRAND RAPIDS, MI 49546
(616) 942-8301
1912165556MISS MICHEL MARIE WICKSALL DDS
Individual
Dentist4500 CASCADE RD SE 200
GRAND RAPIDS, MI 49546
(616) 975-9700
1063826865DR. DANIEL PAUL LINGENFELTER D.D.S.
Individual
Dentist4500 CASCADE RD SE SUITE #107
GRAND RAPIDS, MI 49546
(616) 957-1304
1932554995FOREST HILLS DENTAL, P.C.
Organization
Dentist (General Practice)4500 CASCADE RD SE STE. 107
GRAND RAPIDS, MI 49546
(616) 957-1304
1548283559ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC
Organization
Dentist (Oral and Maxillofacial Pathology)4500 CASCADE RD SE SUITE #208
GRAND RAPIDS, MI 49546
(616) 977-5000
1124101712MOBILE ANESTHESIOLOGISTS OF MICHIGAN PLLC
Organization
Anesthesiology4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
(773) 355-5300
1720201742MR. DARIUS LAMONT RANDALL LMSW
Individual
Counselor (Mental Health)4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
(616) 443-4121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336504760, enumerated in the NPI registry as an "organization" on December 30, 2015

The provider is located at 4500 Cascade Rd Se Suite 210 Grand Rapids, Mi 49546 and the phone number is (616) 259-7341

This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X

This NPI record was last updated on December 30, 2015. 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.