{"npi":"1114929353","type":"NPI-2","status":"active","name":{"display":"Grand River Emergency Medical Group Plc","other":[],"organization_name":"GRAND RIVER EMERGENCY MEDICAL GROUP PLC","authorised_official":"Mark Figurski"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"MI","license":"5101007471"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 JEFFERSON AVE SE","city":"GRAND RAPIDS","state":"MI","postal_code":"495034502","country_code":"US","phone":"6166856781"},{"purpose":"MAILING","street_1":"PO BOX Q","city":"GRAND RAPIDS","state":"MI","postal_code":"495014917","country_code":"US","phone":"8009686866","fax":"6165327230"}],"license":{"state":"MI","number":"5101007471"},"identifiers":[{"type_code":"01","label":"Other","value":"500D111750","state":null,"issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"010D160910","state":null,"issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040327000079","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"3274425905"}]},"enumeration_date":"2005-06-01","last_updated":"2013-02-04","_meta":{"source":"NPPES","snapshot_date":"2013-02-04","doc_url":"https://findmynpi.com/api"}}