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

Udo G Foreman, PA-C

Individual provider Physician Assistant · NPI 1750685335

Udo G Foreman, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2010, 16 years ago. Practices with Cambridge Memorial Hospital Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Colorado, Kansas, Michigan and Nebraska.

Years since qualifying
16
Licensed in
CO, KS, MI, NE
In the registry since
2010
Specialties on file
4
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

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-1680
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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 15-02569 (KS)
Physician Assistant Taxonomy 363A00000X · Licence 5601006199 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 3145 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 2745 (NE)

Record details

NPI number1750685335
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 22, 2010
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Cambridge Memorial Hospital Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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