Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tiffany L Vardon, PA-C

Individual provider Physician Assistant · NPI 1891738928

Tiffany L Vardon, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2006, 20 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Jefferson Ave SE 6 S #626
Grand Rapids, MI 49503-4502
Phone: (616) 685-5039
Fax: (616) 685-8910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004741 (MI)

Record details

NPI number1891738928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJune 30, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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