JEFFERY J. LIBRA M.D. – NPI #1619009826
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JEFFERY LIBRA is a physician located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1619009826 to JEFFERY LIBRA on March 12, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Jun 18, 2019. 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 JEFFERY LIBRA below.

NPI Profile for
JEFFERY J. LIBRA

NPI Number
1619009826
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFERY J. LIBRA
Credentials
M.D.
Primary location
3355 EAGLE PARK DR NE STE 103
GRAND RAPIDS, MI 49525
Phone: (616) 942-7400 Fax: (616) 942-7405
1 Other location(s):
451 Health Pkwy
Suite A
Paw Paw, MI 49079-8242
Phone: (269) 657-2550
Fax: (269) 657-2285
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for JEFFERY LIBRA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSM - BRONSON LAKEVIEWMI1235131137
MEDICAIDMI1619009826
MEDICAIDMI2843350
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)		 MI 4301048963

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
JEFFERY LIBRA is affiliated with the following medical group(s):
  • HOSPITAL
    • HOLLAND COMMUNITY HOSPITAL
      602 MICHIGAN AVE
      HOLLAND, MI 49423
  • HOME HEALTH AGENCY
    • CARE ONE HOME HEALTH SERVICES
      2305 E PARIS AVE SE, SUITE 202
      GRAND RAPIDS, MI 49546
  • NURSING HOME
    • DOUGLAS COVE HEALTH AND REHABILITATION
      243 WILEY ROAD
      DOUGLAS, MI 49406
  • HOSPICE
    • CARELINE HOSPICE
      103 S JACKSON ST
      JACKSON, MI 49201
    • CARELINE HOSPICE
      770 KENMOOR AVE STE 100
      GRAND RAPIDS, MI 49546
    • KINDRED HOSPICE
      625 KENMOOR AVENUE SE, SUITE 115
      GRAND RAPIDS, MI 49546

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