OrganizationActive
Geriatric & Extended Rehabilitation Medicine LLC
NPI 1609810985 · Geriatric Medicine (Family Medicine) Physician · Grand Haven, MI
Provider details
- NPI number
- 1609810985
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Rutherford, Owner President(616) 844-4067
- License
- 5101009705 (MI)
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
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
1159 S Harbor Dr
Suite C-4
Grand Haven, MI 49417-1777
Phone: (616) 844-4067
Fax: (616) 844-4067
Street-level locationGet directions
Mailing address
1159 S Harbor
Grand Haven, MI 49417-1777
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2011-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.