MEMORIAL MEDICAL CENTER OF WEST MICHIGAN (NPI# 1689050783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689050783 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN |
| Other Organization Name | SPECTRUM HEALTH LUDINGTON |
| Practice Address |
250 Nelson Rd Ludington MI 49431-1993 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2318436767 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | KERRI NELSON (VP FINANCE) |
| Authorized Official Telephone | 2318452251 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SPECTRUM HEALTH LUDINGTON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650160 | Memorial Medical Center of West Michigan | Home Health | 1n Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1972589489 | Memorial Medical Center of West Michigan | General Acute Care Hospital | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
| 1932662996 | Memorial Medical Center of West Michigan | Clinic/Center | 230 S Maple St, Grant, MI 49327-9006 | 2019-04-08 |
| 1730642794 | Memorial Medical Center of West Michigan | Clinic/Center | 78 N Division St, Hesperia, MI 49421-5100 | 2019-04-08 |
| 1093161820 | Memorial Medical Center of West Michigan | Clinic/Center | 250 Nelson Rd, Suite 1, Ludington, MI 49431-1993 | 2016-05-11 |
| 1215396205 | Memorial Medical Center of West Michigan | Clinic/Center | 7 N Atkinson Dr, Suite 113, Ludington, MI 49431-1953 | 2016-02-18 |
| 1982063210 | Memorial Medical Center of West Michigan | Clinic/Center | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2016-02-15 |
| 1538528872 | Memorial Medical Center of West Michigan | Clinic/Center | 907 E Tinkham Ave, Ludington, MI 49431-1537 | 2016-02-15 |
| 1174908388 | Memorial Medical Center of West Michigan | Obstetrics & Gynecology | 913 E Ludington Ave, Ludington, MI 49431-2437 | 2015-07-29 |
| 1053794685 | Memorial Medical Center of West Michigan | Pediatrics | 907 E Tinkham Ave, Ludington, MI 49431-1537 | 2015-07-01 |
| Street Address |
250 NELSON RD |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446130 | Margaret E Gustafson | Obstetrics & Gynecology | 250 Nelson Rd, Ste 1, Ludington, MI 49431-1993 | 2005-06-09 |
| 1093161820 | Memorial Medical Center of West Michigan | Clinic/Center | 250 Nelson Rd, Suite 1, Ludington, MI 49431-1993 | 2016-05-11 |
| 1578985966 | Trudie Brandt | Social Worker | 250 Nelson Rd, Suite 2, Ludington, MI 49431-1993 | 2014-01-20 |
| 1063834679 | Patricia A Murphy-ruhlig | Social Worker | 250 Nelson Rd, Ste 2, Ludington, MI 49431-1993 | 2014-01-16 |
| 1609143569 | Devin A Gill | Social Worker | 250 Nelson Rd, Suite 2, Ludington, MI 49431-1993 | 2011-11-21 |
| 1780801910 | Douglas J Gentry Md Pllc | Family Medicine | 250 Nelson Rd, Ste 2, Ludington, MI 49431-1993 | 2007-04-19 |
| 1588792295 | Dwight W Wood Md Plc | Ophthalmology | 250 Nelson Rd, Suite 1, Ludington, MI 49431-1993 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225053366 | Marian Roberta-bentley Fuller | Obstetrics & Gynecology | 250 Nelson Rd Ste 1, Ludington, MI 49431-1993 | 2006-07-12 |
| 1184683203 | Kang H Lee | Obstetrics & Gynecology | 7 N Atkinson Dr, Ste 113, Ludington, MI 49431-1953 | 2006-03-18 |
| 1982605648 | Dannie Joe Gentry Jr. | Obstetrics & Gynecology | 250 N Nelson Rd, Suite 1, Ludington, MI 49431-1942 | 2005-08-03 |
| 1366446130 | Margaret E Gustafson | Obstetrics & Gynecology | 250 Nelson Rd, Ste 1, Ludington, MI 49431-1993 | 2005-06-09 |
| 1174908388 | Memorial Medical Center of West Michigan | Obstetrics & Gynecology | 913 E Ludington Ave, Ludington, MI 49431-2437 | 2015-07-29 |
| 1598957169 | Kang Hoon Lee Md PC | Obstetrics & Gynecology | 7 N Atkinson Dr, Suite 113, Ludington, MI 49431-1953 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEMORIAL MEDICAL CENTER OF WEST MICHIGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.