OrganizationActive
Grand River Surgery, PLLC
NPI 1790894822 · Surgery Physician · Wyoming, MI
Grand River Surgery, PLLC is a Surgery Physician organization in Wyoming, MI (NPI 1790894822).
Provider details
- NPI number
- 1790894822
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaret Beane, Owner(616) 532-8100
- License
- 5101014347 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
2093 Health Drive Sw
Suite 300
Wyoming, MI 49519
Phone: (616) 532-8100
Fax: (616) 532-8200
Approximate (ZIP-level) locationGet directions
Mailing address
2093 Health Drive Sw
Wyoming, MI 49519
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-11-16
Frequently asked questions
- What is Grand River Surgery, PLLC's NPI number?
- Grand River Surgery, PLLC's National Provider Identifier (NPI) is 1790894822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand River Surgery, PLLC?
- Grand River Surgery, PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Grand River Surgery, PLLC located?
- Grand River Surgery, PLLC's practice location on file with NPPES is 2093 Health Drive Sw, Wyoming, MI 49519.
- What is Grand River Surgery, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grand River Surgery, PLLC is (616) 532-8100.
- Who is the authorized official for Grand River Surgery, PLLC?
- The authorized official listed on Grand River Surgery, PLLC's NPPES record is Jaret Beane, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand River Surgery, PLLC's NPI active?
- Yes — Grand River Surgery, PLLC's NPI (1790894822) is active in the NPPES registry as of the last update on 2007-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.