Unknown Individual – Specialist, NPI 1215985114
Specialist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
8412 PFEIFFER FARMS DR
BYRON CENTER, MI 49315
Phone: (616) 356-4820
Fax: (616) 356-4850
Type: Location
2100 RAYBROOK ST SE
GRAND RAPIDS, MI 495467759
Phone: (616) 235-5101
Type: Location
2100 Raybrook St SE
Grand Rapids, MI 495467759
Phone: (616) 235-5101
Type: Location
5950 Metro Way SW
Wyoming, MI 495199514
Phone: (616) 252-8100
Fax: (616) 252-8181
Type: Location
8412 Pfeiffer Farms Dr
Byron Center, MI 49315
Phone: (616) 356-4820
Fax: (616) 356-4850
Type: Location
423, Broadway Avenue Northwest, Grand Rapids, Kent County, Michigan, 49504, United States
GRAND RAPIDS, MI 49504
Phone: (616) 235-5100
Fax: (616) 235-5050
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2024-02-02 • Largest payer in this snapshot: Boston Scientific Corporation ($154).
Total Amount
$216
General + Research + Ownership
Payments
3
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $154 |
| ShockWave Medical, Inc | $45 |
| Medtronic, Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49315)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Hospitalist, Internal Medicine | MI | |
| - | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI |
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