RAWM VASCULAR ACCESS CENTER, PLLC – NPI #1710378377
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

RAWM VASCULAR ACCESS CENTER, PLLC is a provider located in WYOMING, MI. NPPES has assigned the NPI number 1710378377 to RAWM VASCULAR ACCESS CENTER, PLLC on February 17, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RAWM VASCULAR ACCESS CENTER, PLLC” is a dba name, the actual legal business name for this organization is RAWM VASCULAR ACCESS, PLLC. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 6 years ago on Jan 17, 2020. 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 RAWM VASCULAR ACCESS CENTER, PLLC below.

NPI Profile for
RAWM VASCULAR ACCESS, PLLC

NPI Number
1710378377
Enumeration Date

(more than 11 years 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
RAWM VASCULAR ACCESS, PLLC
Doing Business As (dba): RAWM VASCULAR ACCESS CENTER, PLLC
Primary location
1540 36TH STREET. SW
WYOMING, MI 49509
Phone: (616) 532-3072 Fax: (616) 532-4078
Mailing address
330 E BELTLINE NE
SUITE 100
GRAND RAPIDS, MI 49506-1208
Phone: (616) 752-6235 Fax: (616) 752-6324
Organization Subpart
No
Authorized Official
MICHAEL UNRUH
MD
Phone: (616) 532-3072
Updated
Certification Date
Jan 17, 2020

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.

Identifiers

Identifiers for RAWM VASCULAR ACCESS CENTER, PLLC

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
MEDICAIDMI1104036532
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
207RN0300X
- Internal Medicine / Nephrology (Primary)

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.