Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164996260 Individual Practitioner Male Practitioner

John Stathakios

Pediatrics • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

John Stathakios is a registered healthcare professional specializing in Pediatrics in Grand Rapids, MI. Practice services are available at 275 MICHIGAN ST NE FL 8 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

275 Michigan St Ne Fl 8

Grand Rapids, MI 495032531

Telephone 6163918810
Associated Practice Facility / Clinic
🏢 Spectrum Health Hospitals Facility NPI 1902108673

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.9 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
258 Specialists

Practicing in Grand Rapids, MI (2263 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-12
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4351051157

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Technician/Technologist

NUCC Taxonomy Code: 156F00000X

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003016064

Doctor of Medicine (M.D.)

NPI 1003619156

Doctor of Medicine (M.D.)

NPI 1013659432

Doctor of Medicine (M.D.)

NPI 1023861473

Doctor of Osteopathic Medicine (D.O.)

NPI 1033436761

Doctor of Medicine (M.D.)

NPI 1033747175

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 12, 2025

Registered at 275 MICHIGAN ST NE FL 8, GRAND RAPIDS, MI 495032531 (Tel: 6163918810)

📍
Updated Business Mailing Address February 12, 2025

Registered at 275 MICHIGAN ST NE FL 8, GRAND RAPIDS, MI 495032531 (Tel: 6163918810)

📍
Updated Practice Location June 19, 2023

Registered at 330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 495032527 (Tel: 6163918810)

📍
Updated Business Mailing Address June 19, 2023

Registered at 330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 495032527 (Tel: 6163918810)

NPI Profile Active January 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2019

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

📍
Updated Business Mailing Address January 11, 2019

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

👤
Provider Name / Credentials Updated January 11, 2019

Recorded as JOHN STATHAKIOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2019

Technician/Technologist

🟢
Initial NPI Registration & Enumeration January 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164996260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2019
Last Update: February 12, 2025
Sole Proprietor: No

Mailing Address

275 Michigan St Ne Fl 8

Grand Rapids, MI 495032531

Phone: 6163918810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.