James Calvin Niewenhuis, MD | |
1309 Sheldon Rd, Grand Haven, MI 49417-2404 | |
(616) 847-5257 | |
(419) 866-5453 |
Full Name | James Calvin Niewenhuis |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 35 Years |
Location | 1309 Sheldon Rd, Grand Haven, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356367924 | NPI | - | NPPES |
220A360180 | Other | MI | BCBSM |
220A360250 | Other | MI | BCBSM |
220B376060 | Other | MI | BCBSM |
4197568 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301055088 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Pathology Specialists Pc | 4789576414 | 29 |
Entity Name | Patholgy Services Of Kalamazoo Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548243595 PECOS PAC ID: 0143123034 Enrollment ID: O20040128001118 |
Entity Name | Michigan Pathology Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033193875 PECOS PAC ID: 4789576414 Enrollment ID: O20040327000041 |
Mailing Address | Practice Location Address |
---|---|
James Calvin Niewenhuis, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | James Calvin Niewenhuis, MD 1309 Sheldon Rd, Grand Haven, MI 49417-2404 Ph: (616) 847-5257 |
Muhammad Azam, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1309 Sheldon Rd, Grand Haven, MI 49417 Phone: 616-847-5200 | |
Dr. Lee J Demeester, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1309 Sheldon Rd, Grand Haven, MI 49417 Phone: 616-847-5634 |