OrganizationActive
Mmpc Weight Management
NPI 1083637003 · Surgery Physician · Grand Rapids, MI
Mmpc Weight Management is a Surgery Physician organization in Grand Rapids, MI (NPI 1083637003).
Provider details
- NPI number
- 1083637003
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Grevengoed, Cpa(616) 974-4431
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4100 Lake Dr Se
S-B01
Grand Rapids, MI 49546-8292
Phone: (616) 974-4400
Street-level locationGet directions
Mailing address
4100 Lake Dr Se
Grand Rapids, MI 49546-8292
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mmpc Weight Management's NPI number?
- Mmpc Weight Management's National Provider Identifier (NPI) is 1083637003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mmpc Weight Management?
- Mmpc Weight Management is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mmpc Weight Management located?
- Mmpc Weight Management's practice location on file with NPPES is 4100 Lake Dr Se, Grand Rapids, MI 49546-8292.
- What is Mmpc Weight Management's phone number?
- The practice phone number listed in the NPPES registry for Mmpc Weight Management is (616) 974-4400.
- Who is the authorized official for Mmpc Weight Management?
- The authorized official listed on Mmpc Weight Management's NPPES record is Daniel Grevengoed, Cpa. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mmpc Weight Management's NPI active?
- Yes — Mmpc Weight Management's NPI (1083637003) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.