| NPI | 1245612662 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2015-06-22 |
| Last Updated | 2021-03-02 |
| Mailing Address | 100 Michigan St Ne # Mc845 Grand Rapids, MI 49503-2560 United States 📍 View Map |
| Primary Practice Address | 2249 Wealthy St Se Ste 110 East Grand Rapids, MI 49506 United States Phone: (616) 391-4600 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | MI | 5101021669 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1245612662
Megan Deshetler D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1245612662. The primary specialty listed is Family Medicine. The provider is located in East Grand Rapids, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-06-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1245612662?
NPI 1245612662 belongs to Megan Deshetler D.O., a Family Medicine in East Grand Rapids, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1245612662 active?
The current status of NPI 1245612662 in the NPPES registry is Active. The record was last updated on 2021-03-02.
What specialty is NPI 1245612662?
NPI 1245612662 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1245612662?
You can verify NPI 1245612662 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1245612662?
The primary practice address on file for NPI 1245612662 is 2249 Wealthy St Se Ste 110, East Grand Rapids, MI 49506. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1245612662 issued?
NPI 1245612662 was first issued (enumerated) on 2015-06-22. The NPPES record was last updated on 2021-03-02.
Practice Location Map
Megan Deshetler is located at 2249 Wealthy St Se Ste 110, East Grand Rapids, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Megan Deshetler. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1245612662. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 5101021669 | MI |