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DR. JOSEPH PAUL VAN ARK MD NPI 1104821438


NPI Information

NPI: 1104821438
Provider Name: DR. JOSEPH PAUL VAN ARK, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11615 HARTEL RD
STE 108
GRAND LEDGE, MI
ZIP 48837
Phone: (517) 627-3281
Get Directions

DR. Joseph Paul Van Ark, MD is a family medicine in Grand Ledge, MI. The provider is 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. DR. Joseph Paul Van Ark, MD NPI is 1104821438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11615 HARTEL RD
STE 108
GRAND LEDGE, MI
ZIP 48837-165
Phone: (517) 627-3281
Fax: (517) 627-8722

The NPI 1104821438 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 6/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301406591MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101-00164OTHERMICHIGANPHYSICIANS HEALTH PLAN
20231002MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
3080B37601OTHERMICHIGANBCBSM
4B64052MEDICARE UPINMICHIGAN
52683874MEDICAIDMICHIGAN
65706661OTHERMICHIGANAETNA US HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.