Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emmanuel John Bart-Plange IV, PA

Individual provider Physician Assistant · NPI 1457934424

Emmanuel John Bart-Plange IV, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Mchs Hospitals Inc, a 1,194-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
6
Licensed in
MI, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

25 Michigan St NE Ste 6100
Grand Rapids, MI 49503-2561
Phone: (616) 267-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N Oak Avenue, Marshfield, WI 54449-5703 — (715) 387-5511

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010541 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 7968 (WI)

Record details

NPI number1457934424
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice McHs Hospitals Inc — 1194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Grand Rapids