Kenneth A Krajewski
Internal Medicine (Hematology & Oncology)

Address: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608
Phone: 6166855600

Kenneth A Krajewski (NPI# 1154585172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1154585172
Entity Type Individual
Full Name Kenneth A Krajewski
Credential M.D.
Gender Male
Practice Address 250 Cherry St Se Ste 2200
Grand Rapids
MI 49503-4608
Practice Telephone 6166855600
Practice Fax Number 6166856745
Mailing Address 5800 Foremost Dr Se Ste 300
Grand Rapids
MI 49546-7062
Mailing Telephone 6169549800
Mailing Fax Number 6163891766
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-07-18
Last Update Date 2018-04-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians 4301104456 MI

Other Provider Identifier

State Identifier Issuer Type Code
MI 1154585172 MEDICAID

Physician Overview

NPI 1154585172
PAC ID by PECOS 6002045598
Professional Enrollment ID I20140721000223
Full Name Kenneth A Krajewski
Organization Legal Name CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C.
Phone Number 6163996500
Gender M
Medical School UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year 2008
Primary Specialty HEMATOLOGY/ONCOLOGY
Group Practice PAC ID 4082526793
Number of Group Practice Members 59
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230059 MERCY HEALTH SAINT MARY'S
230072 HOLLAND COMMUNITY HOSPITAL
230038 SPECTRUM HEALTH-BUTTERWORTH CAMPUS
230003 SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790727360 Anas Al-janadi Internal Medicine 145 Michigan St Ne Ste 5200, Grand Rapids, MI 49503-2565 2006-06-11
1295736387 William L Scott Internal Medicine 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2005-08-10
1639179286 Thomas E Gribbin Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2005-07-26
1003101429 Erin Megan Pettijohn Internal Medicine 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2011-06-14
1376773010 Judy Peih-ying Tsai Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2009-07-15
1447487053 Kathrine Amanda Cooper Internal Medicine 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 2009-06-22
1174700256 Eric C. Santos Internal Medicine 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 2008-01-30
1568641074 Frances Ying-nok Wong Internal Medicine 5800 Foremost Dr Se Ste 100, Grand Rapids, MI 49546-7062 2007-10-31
1194934802 Latha Sree Polavaram Internal Medicine 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 2007-05-21
1598986986 Nehal Jagdish Lakhani Internal Medicine 5800 Foremost Dr Se Ste 100, Grand Rapids, MI 49546-7062 2007-05-01
Find all providers in GRAND RAPIDS

Office Location

Street Address 250 CHERRY ST SE STE 2200
City GRAND RAPIDS
State MI
Zip Code 49503-4608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295736387 William L Scott Internal Medicine 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2005-08-10
1508428897 Lauren Jongsma Nurse Practitioner 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2019-07-08
1952824328 Kristen George Social Worker 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2017-07-18
1760848634 Tricia Irene Lozon Physician Assistant 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2016-01-08
1497142988 Kaitlyn Rath Nurse Practitioner 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2015-04-22
1558638056 Catina Elaine Painter Nurse Practitioner 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2011-11-28
1003101429 Erin Megan Pettijohn Internal Medicine 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2011-06-14
1821021098 Shannon Kathleen Iakiri Nurse Practitioner 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2006-07-09
1912936378 Elizabeth Ann Heyboer Physician Assistant 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 2006-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
1689169203 Heather Evelina Purchase Licensed Practical Nurse 1215 E. Fulton St, Grand Rapids, MI 49503 2018-06-26
1871088492 Nancy Martina Magallon Licensed Practical Nurse 1215 E. Fulton, M1, Grand Rapids, MI 49503 2018-06-26
1346735941 Lisa Lynn Van Etten Social Worker 1215 E. Fulton S.e., Grand Rapids, MI 49503 2018-06-26
1598250110 Shannon Sue Zelma Registered Nurse 1215 Fulton St East, Grand Rapids, MI 49503 2018-06-26
1972097061 Morgan Justine Hnatiuk Genetic Counselor, MS 145 Michigan Ave Se, Grand Rapids, MI 49503 2018-06-21
1336646553 Jennifer Lynn Vander Bos Licensed Practical Nurse 927 Innes St Ne, Grand Rapids, MI 49503 2018-04-13
1225531346 Nicole Marie Denczek Physical Therapist 1401 Cedar Street, Grand Rapids, MI 49503 2018-03-15
Find all providers in zip 49503

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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