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

Payton Jon Kooiker, DO

Individual provider Surgery Physician · NPI 1366143315

Payton Jon Kooiker, DO is a Surgery Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

100 Michigan St NE Ste A601
Grand Rapids, MI 49503-2560
Phone: (616) 391-6243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5151016750 (MI)

Record details

NPI number1366143315
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 16, 2023
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address400 Lee St N, Lewisburg, WV 24901-1274

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