Executive Family And Sports - Primary Care in Grand Rapids, MI

Executive Family And Sports is a primary clinic (Family Medicine) in Grand Rapids, Michigan. The current practice location for Executive Family And Sports is 771 Kenmoor Ave Se, Grand Rapids, Michigan. For appointments, you can reach them via phone at (616) 734-0335. The mailing address for Executive Family And Sports is Po Box 8306, Kentwood, Michigan and phone number is (616) 734-0335.

Executive Family And Sports is licensed to practice in Michigan (license number 5101013068) and its NPI number is 1336201565. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (616) 734-0335.

Contact Information

Executive Family And Sports
771 Kenmoor Ave Se
Grand Rapids
MI 49546-2370
(616) 734-0335
(616) 949-8540

Map and Direction


Primary Care Clinic Profile

Full NameExecutive Family And Sports
SpecialityFamily Medicine
Location771 Kenmoor Ave Se, Grand Rapids, Michigan
Authorized Official Name and PositionChristopher Zielinski (PRESIDENT)
Authorized Official Contact6167340335
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Executive Family And Sports
Po Box 8306
Kentwood
MI 49518-8306

Ph: (616) 734-0335
Executive Family And Sports
771 Kenmoor Ave Se
Grand Rapids
MI 49546-2370

Ph: (616) 734-0335

NPI Details:

NPI Number1336201565
Provider Enumeration Date12/14/2006
Last Update Date12/18/2007

Medical Identifiers

Medical identifiers for Executive Family And Sports such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336201565NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101013068 (Michigan)Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.