Dr. John Martin Koetsier , MD
Pediatrics • Grand Rapids, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Koetsier has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Koetsier, MD was a registered Pediatrics practicing in Grand Rapids, MI. Throughout an active medical career spanning 18 years, Dr. Koetsier provided care at the practice location at 710 KENMOOR AVE SE until profile deactivation on 2024-12-05.
Practice Location & Contact Primary Location
710 Kenmoor Ave Se
Suite 110
Grand Rapids, MI 495462379
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Grand Rapids, MI
Practicing in Grand Rapids, MI (2263 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
RNBSNCPNP
Nurse Practitioner - Pediatrics
RNCPNP
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Osteopathic Medicine (D.O.)
Pediatrics
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 05, 2024
NPI status registered as active in NPPES database
Registered at 710 KENMOOR AVE SE, SUITE 110, GRAND RAPIDS, MI 495462379 (Tel: 6169496112)
Registered at 710 KENMOOR AVE SE, SUITE 110, GRAND RAPIDS, MI 495462379 (Tel: 6169496112)
Recorded as JOHN KOETSIER, M.D.
Pediatrics (License #4301033878 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
710 Kenmoor Ave Se, Suite 110
Grand Rapids, MI 495462379
Phone: 6169496112
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