ADO MEDICAL OF KANSAS, PA – NPI #1093577108
Family Medicine

ADO MEDICAL OF KANSAS, PA is a provider located in GRANDVILLE, MI. NPPES recently assigned the NPI number 1093577108 to ADO MEDICAL OF KANSAS, PA on January 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADO MEDICAL OF KANSAS, PA below.

NPI Profile for
ADO MEDICAL OF KANSAS, PA

NPI Number
1093577108
Created

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADO MEDICAL OF KANSAS, PA
Primary location
4555 WILSON AVE SW STE 1
GRANDVILLE, MI 49418-2370
Phone: (616) 229-2935 Fax:
Mailing address
625 KENMOOR AVE SE STE 301
GRAND RAPIDS, MI 49546-2395
Phone: (616) 229-2935 Fax:
Organization Subpart
No
Authorized Official
TIM GUTWALD
GENERAL COUNSEL
Phone: (616) 498-8102
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
103TC0700X
- Psychologist / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.