JOHN D. DEMOTT, JR. MD – NPI #1780617589
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

JOHN DEMOTT, JR. is a radiologist located in HOLLAND, MI. NPPES has assigned the NPI number 1780617589 to JOHN DEMOTT, JR. on July 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Jul 12, 2007. 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 DEMOTT, JR. below.

NPI Profile for
JOHN D. DEMOTT, JR.

NPI Number
1780617589
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN D. DEMOTT, JR.
Credentials
MD
Primary location
602 MICHIGAN AVENUE
HOLLAND, MI 49423
Phone: (616) 392-5141 Fax:
Mailing address
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone: (616) 363-7272 Fax: (616) 363-7290
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MI 4301044747

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.