BETHANY JOY TILLEMA PA-C
NPI 1417920331
Specialist/technologist, Athletic Trainer in Grand Haven,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 10, 2006

Contact Information

15100 Whittaker Way
Grand Haven,
Post Code: 49417
Phone: (616) 935-6260
Fax: -

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Bethany Joy Tillema Pa-c in Grand Haven - Specialist/Technologist, Athletic Trainer

Bethany Joy Tillema Pa-c is a Specialist/Technologist, Athletic Trainer in Grand Haven, . Bethany Joy Tillema Pa-c practices all healthcare services and medical treatments related to Specialist/Technologist, Athletic Trainer. The NPI Number for Bethany Joy Tillema Pa-c is 1417920331. The last update date is 2023-09-05.

Bethany Joy Tillema Pa-c's current location address is 15100 Whittaker Way, Grand Haven, . You can contact this provider via phone number (616) 935-6260 and fax number -. The mailing address for Bethany Joy Tillema Pa-c is 15100 Whittaker Way, Grand Haven, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1417920331
Provider Name
BETHANY JOY TILLEMA PA-C
Gender
Female
Entity Type
Individual
Location Address
15100 Whittaker Way, Grand Haven,
Location Phone
(616) 935-6260
Location Fax
-
Mailing Address
100 Michigan St Ne, Grand Rapids, Michigan(MI)
Mailing Phone
616-486-6790
Mailing Fax
-
Enumeration Date
2006-02-10
Last Update Date
2023-09-05
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
5601008127
License State
Michigan (MI)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2255A2300X Athletic Trainer

Specialist/Technologist, Athletic Trainer

2601000292 (Michigan)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417920331
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427182036
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2427182036
2 + 4 + 2 + 7 + 1 + 8 + 2 + 0 + 3 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1417920331 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407859457 THOMAS A. MAGNIFICO
Individual
Pharmacist 4021 CASCADE RD SE
GRAND RAPIDS, Michigan (MI)
616-974-9792
1184627135 ALLEGAN COUNTY HEALTH DEPARTMENT
Organization
Public Health or Welfare 3255 122ND AVE
ALLEGAN, Michigan (MI)
269-267-5411
1215930490 FAMILY ORTHOPEDIC ASSOCIATES P L C
ORTHOMICHIGAN/ORTHOMICHIGAN NOW/ORTHOMICHIGAN THERAPY SERVICES
Organization
Orthopaedic Surgery 4466 W BRISTOL RD
FLINT, Michigan (MI)
810-733-1200
1275536401 JAMES G STEVENSON
Individual
Pharmacist 16766 OLD BEDFORD RD
NORTHVILLE, Michigan (MI)
734-647-7794
1003819004 MARY BERNONA STEVENS
Individual
Dentist, General Practice 1172 NIXON AVE NW
GRAND RAPIDS, Michigan (MI)
616-453-0644