Dr. Stanley Charles Sedore

M.D., PH.D. | Pediatric Cardiology | Male

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Complete Profile:

Dr. Stanley Charles Sedore basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Stanley Charles Sedore
Credential :	M.D., PH.D.
Gender :	Male

Business Address:

Dr. Stanley Charles Sedore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	25 Michigan St Ne Ste 4200 Grand Rapids, MI, 49503-2559 United States
Phone Number :	616-267-9150
Fax Number :	616-267-1408

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1306163092
NPI Entity Type :	Individual
First Enrolment Date :	21 Apr, 2010
Last Updated On :	24 Feb, 2021

Medicare Participation:

Dr. Stanley Charles Sedore participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5193011450
Medicare Enrollment ID :	I20170706001597
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Iowa, Rj & L Carver College Of Medicine
Graduation Year :	2010
Accepts Medicare?	Yes. Dr. Stanley Charles Sedore accepts medicare insurance.

Group Practice Association:

Dr. Stanley Charles Sedore is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Stanley Charles Sedore is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Spectrum Health Primary Care Partners	4587568647	1518	100 Michigan Ave Ne Grand Rapids, MI - 495032560	Yes
Spectrum Health Primary Care Partners	4587568647	1518	100 Michigan St Ne Rm 280 Helen Devos Children's Hospital Grand Rapids, MI - 495032560 Ph: 6162670115	Yes
Spectrum Health Primary Care Partners	4587568647	1518	4444 Kalamazoo Ave Se 200 Shmg Internal Medicine Kentwood, MI - 495084600 Ph: 6163915600	Yes
Spectrum Health Hospitals	8921904764	121	100 Michigan Ave Ne Grand Rapids, MI - 495032560 Ph: 6163911774	Yes
Spectrum Health Hospitals	8921904764	121	100 Michigan St Northeast Grand Rapids, MI - 495032560 Ph: 6163911774	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stanley Charles Sedore are as mentioned. Primary taxonomy code for Dr. Stanley Charles Sedore, M.D., PH.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	4301112035	MI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 Michigan St Ne # Mc845 Grand Rapids, MI, 49503-2560 United States

Business Location:

Patients can refer following map for directions to Dr. Stanley Charles Sedore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.