Jack Daniel Degroot, PA-C
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2012
- Practice address
- 1545 68th SE St, Grand Rapids, MI 49508
- Practice phone
- Call (616) 534-9881
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Corewell Health Medical Group West
Grand Rapids, Michigan
Find Jack Degroot's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jack Daniel Degroot is a physician assistant in Grand Rapids, Michigan
Jack Degroot practices at Corewell Health Medical Group West in Grand Rapids, Michigan.
Jack Degroot's NPI, 1982950960, was assigned on July 27, 2012. Jack Degroot holds Michigan license 5601006401.
- NPI
- 1982950960NPI Registry (opens in a new tab)
- NPI enumeration date
- July 27, 2012
- NPI status
- Active
- Practice phone
- (616) 534-9881
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 40
- Medical school graduation
- 2012
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Jack Daniel Degroot practices at Corewell Health Medical Group West in Grand Rapids, Michigan
Jack Degroot's primary practice is Corewell Health Medical Group West, at 1545 68th SE St, Grand Rapids, MI 49508 in Kent County. The practice phone is (616) 534-9881.
- Corewell Health Medical Group West1545 68th SE St, Grand Rapids, MI 49508 · Kent CountyPhone(616) 534-9881
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Jack Daniel Degroot is affiliated with 2 sites of care and 1 medical group
Jack Degroot's primary practice is Corewell Health Medical Group West in Grand Rapids, Michigan. The medical group on file is Corewell Health Medical Group West. Dmand AI also links Jack Degroot to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Jack Daniel Degroot's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jack Degroot practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Corewell Health Medical Group West | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Jack Daniel Degroot is one of 5,857 physician assistants in Michigan
Physician assistant is Jack Degroot's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Jack Degroot is licensed in Michigan.
Specialties and state licenses
- Physician assistant, MichiganPrimary
Physician assistants near Jack Degroot
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jack Daniel Degroot's patients have a median age of 7
Across all payers, Dmand AI patient panel data puts Jack Degroot's median patient age at 7, with 43% women.
Jack Degroot's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 7
Patient panel by sex, all payers
- Women43%
- Men56%
Source: Dmand AI Patient Panel Data
Sources for Jack Daniel Degroot's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jack Daniel Degroot
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jack Daniel Degroot's NPI number?
Jack Daniel Degroot's NPI number is 1982950960. It was assigned on July 27, 2012, and it is active in the NPI Registry.
What does Jack Daniel Degroot specialize in?
Jack Daniel Degroot is a physician assistant in Grand Rapids, Michigan. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Jack Daniel Degroot practice?
Jack Degroot practices at 1545 68th SE St, Grand Rapids, MI 49508. Jack Degroot's primary practice is Corewell Health Medical Group West in Grand Rapids, Michigan. Dmand AI also links Jack Degroot to 1 group practice or clinic.
What is Jack Daniel Degroot's office phone number?
The practice phone on file for Jack Degroot is (616) 534-9881.
What is Jack Daniel Degroot's medical license number?
Jack Degroot holds Michigan license 5601006401.
What medical group is Jack Daniel Degroot part of?
Jack Degroot is linked to Corewell Health Medical Group West.
How long has Jack Daniel Degroot been practicing?
Jack Degroot graduated from medical school in 2012, 14 years ago.
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