JOHN DYKSTRA DO – NPI #1730177379
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

JOHN DYKSTRA is a physician located in HUDSONVILLE, MI. NPPES has assigned the NPI number 1730177379 to JOHN DYKSTRA on October 07, 2005. 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 9 years ago on Dec 01, 2017. 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 JOHN DYKSTRA below.

NPI Profile for
JOHN DYKSTRA

NPI Number
1730177379
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN DYKSTRA
Credentials
DO
Primary location
3912 32ND AVE
HUDSONVILLE, MI 49426-8460
Phone: (616) 252-8700 Fax: (616) 252-8750
Mailing address
5900 BYRON CENTER AVE SW
ATTN: MEDICAL ADMINISTRATION
WYOMING, MI 49519-9606
Phone: Fax:
Sole Proprietor
No
Updated
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 5101013345

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

Education
CHICAGO COLLEGE OF OSTEOPATHY - Graduated 1997
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN DYKSTRA is affiliated with the following medical group(s):
  • HOSPITAL
    • SPECTRUM HEALTH
      100 MICHIGAN ST NE
      GRAND RAPIDS, MI 49503
    • UNIVERSITY OF MICHIGAN HEALTH - WEST
      5900 BYRON CENTER AVENUE, SW
      WYOMING, MI 49519

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