Pediatric Surgeons of West Michigan PC
NPI 1477516110 · Surgery Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Surgeons of West Michigan PC is a Surgery Physician organization in Grand Rapids, MI (NPI 1477516110).
Provider details
- NPI number
- 1477516110
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jamula, Practice Manager(616) 458-1722
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-04-11
- Last updated
- 2017-03-08
Frequently asked questions
- What is Pediatric Surgeons of West Michigan PC's NPI number?
- Pediatric Surgeons of West Michigan PC's National Provider Identifier (NPI) is 1477516110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Surgeons of West Michigan PC?
- Pediatric Surgeons of West Michigan PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Surgeons of West Michigan PC located?
- Pediatric Surgeons of West Michigan PC's practice location on file with NPPES is 330 Barclay Ne, Grand Rapids, MI 49503.
- What is Pediatric Surgeons of West Michigan PC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Surgeons of West Michigan PC is (616) 458-1722.
- Does Pediatric Surgeons of West Michigan PC accept Medicare?
- Pediatric Surgeons of West Michigan PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Surgeons of West Michigan PC?
- The authorized official listed on Pediatric Surgeons of West Michigan PC's NPPES record is Jennifer Jamula, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Surgeons of West Michigan PC's NPI active?
- Yes — Pediatric Surgeons of West Michigan PC's NPI (1477516110) is active in the NPPES registry as of the last update on 2017-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.