Individual Healthcare Provider
Jurgen Gernot Runschke, MD
Provider's NPPES record last updated: March 12, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1134166473
- Primary Specialty
- Surgery — Vascular Surgery
- Practice Location
- Grand Rapids, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:37 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Surgery
Vascular Surgery
Allopathic & Osteopathic Physicians
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Taxonomy code 2086S0129X Emergency Medicine
Allopathic & Osteopathic Physicians
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Taxonomy code 207P00000XSurgery
Allopathic & Osteopathic Physicians
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Taxonomy code 208600000X
Provider-Reported License Information
- Surgery (Michigan)
- 4301080098
- Emergency Medicine (New York)
- 321283
- Emergency Medicine (Indiana)
- 01092546A
- Surgery (Michigan)
- 4301080098
- Emergency Medicine (Minnesota)
- 65288
- Emergency Medicine (Michigan)
- 4301080098
Practice Locations
Practice Location
630 Kenmoor Ave Se Ste 105
Grand Rapids, Michigan 49546-8626
Phone: (616) 204-5698
Additional Practice Location
1721 S Stephenson Ave
Iron Mountain, Michigan 49801-3637
Phone: (906) 776-5555
Record Information
- Enumeration Date
- June 2, 2006
- Provider's NPPES Record Last Updated
- March 12, 2024
- Certification Date
- March 12, 2024
- NPISignal NPPES Dataset
- August 2026
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