Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tammy Lynn Provatas, MD

Individual provider Emergency Medicine Physician · NPI 1275795239

Dr. Tammy Lynn Provatas, MD is an Emergency Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Michigan St NE # MC-49
Grand Rapids, MI 49503-2560
Phone: (616) 391-8879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301092916 (MI)

Record details

NPI number1275795239
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2008
Last updated in NPPESJune 30, 2008

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