Cherry Street Services Inc
NPI 1396165601ActiveOrganization· Family Medicine· Grand Rapids, MI
Family Medicine in Grand Rapids, Michigan, registered in NPPES in April 2014. The authorized official on file is Tasha Blackmon, Ceo.
Overview
| NPI | 1396165601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2014 |
| Last updated in NPPES | Oct 10, 2023 |
| Certified by provider | Oct 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Dentist | 122300000X | — | — |
| Optometrist | 152W00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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