CHRISTOS KONSTANTELOS DO – NPI #1114970936
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CHRISTOS KONSTANTELOS is a physician located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1114970936 to CHRISTOS KONSTANTELOS on May 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Jun 06, 2011. 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 CHRISTOS KONSTANTELOS below.

NPI Profile for
CHRISTOS KONSTANTELOS

NPI Number
1114970936
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHRISTOS KONSTANTELOS
Credentials
DO
Primary location
245 CHERRY ST SE
STE 306
GRAND RAPIDS, MI 49503
Phone: (616) 685-8512 Fax: (616) 336-9952
Mailing address
245 STATE ST SE
STE 228
GRAND RAPIDS, MI 49503
Phone: (616) 685-8050 Fax: (616) 685-1850
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHRISTOS KONSTANTELOS

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
MEDICAIDMI4774950
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
208000000X
- Pediatrics (Primary)
MI 5101012211

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.