Vanessa Cardenas Kimball, MD | |
35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 | |
(616) 267-2100 | |
Not Available |
Full Name | Vanessa Cardenas Kimball |
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Gender | Female |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 35 Michigan St Ne Ste 4150, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558622209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301100270 (Michigan) | Secondary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | 4301100270 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Entity Name | Edward W Sparrow Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
Mailing Address | Practice Location Address |
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Vanessa Cardenas Kimball, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Vanessa Cardenas Kimball, MD 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 Ph: (616) 267-2100 |
Phillip Richter Paras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503 Phone: 616-391-8810 Fax: 616-391-8897 | |
Nathan Andrew Patterson, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503 Phone: 616-267-0118 | |
Stephanie-grace Abinoja Raymundo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150 | |
William B Stratbucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503 Phone: 616-391-7999 | |
Wesley Hannah Shane, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 866-989-7999 | |
Caroline Buckley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-391-8810 | |
Dr. Susan H Wakefield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-4465 Fax: 616-949-6191 |