OrganizationActive
Sheridan Community Hospital
NPI 1285588442 · Orthopaedic Foot and Ankle Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1285588442
- Entity type
- Organization
- Primary specialty
- Orthopaedic Foot and Ankle Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Dimitriou, Compliance Officer(989) 291-6304
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Practice location
1525 E Beltline Ave Ne
Grand Rapids, MI 49525-4598
Phone: (989) 291-6304
Approximate (ZIP-level) locationGet directions
Mailing address
301 N Main St
Sheridan, MI 48884-9235
Registry dates
- Enumerated
- 2026-02-24
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.