WEST SHORE OTOLARYNGOLOGY PC (NPI# 1871097782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871097782 |
| Entity Type | Organization |
| Organization Name | WEST SHORE OTOLARYNGOLOGY PC |
| Other Organization Name | WEST SHORE ENT & ALLERGY GRAND HAVEN |
| Practice Address |
16760 Lincoln St Grand Haven MI 49417 |
| Mailing Address |
1450 Farr Rd Ste 5000 Norton Shores MI 49444-7789 |
| Practice Telephone | 6169353300 |
| Mailing Telephone | 2317399095 |
| Mailing Fax Number | 2317225147 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | ARTHUR JAMES POTTER JR. (VICE PRESIDENT) |
| Authorized Official Telephone | 2317399095 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST SHORE OTOLARYNGOLOGY PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Shore ENT & Allergy Grand Haven | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396223228 | West Shore Otolaryngology PC | Hearing Aid Equipment | 16760 Lincoln St, Grand Haven, MI 49417 | 2018-08-02 |
| 1639674435 | West Shore Otolaryngology PC | Clinic/Center | 268 Seminole Rd, Norton Shores, MI 49444 | 2018-03-26 |
| 1548764426 | West Shore Otolaryngology PC | Clinic/Center | 1450 Farr Rd Ste 5000, Norton Shores, MI 49444 | 2018-03-23 |
| Street Address |
16760 LINCOLN ST |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235419664 | Jaclyn Bradley | Physical Therapist | 16760 Lincoln St, Grand Haven, MI 49417 | 2011-08-17 |
| 1457966996 | Hayley Vanbeek | Physical Therapist | 16760 Lincoln St, Grand Haven, MI 49417-8864 | 2020-09-11 |
| 1679054480 | Laura Callahan | Occupational Therapist | 16760 Lincoln St, Grand Haven, MI 49417-8864 | 2018-08-29 |
| 1396223228 | West Shore Otolaryngology PC | Hearing Aid Equipment | 16760 Lincoln St, Grand Haven, MI 49417 | 2018-08-02 |
| 1265927032 | Quinn Lurvey | Physical Therapist | 16760 Lincoln St, Grand Haven, MI 49417 | 2018-06-25 |
| 1912455171 | Tyler Finch | Physical Therapist | 16760 Lincoln St, Grand Haven, MI 49417-8864 | 2016-09-16 |
| 1225583818 | Lisa Mcguire | Physical Therapist | 16760 Lincoln St, Grand Haven, MI 49417-8864 | 2016-08-24 |
| 1700254620 | Scott Mckeel | Physical Therapist | 16760 Lincoln St, Grand Haven, MI 49417-8864 | 2015-09-09 |
| 1053681643 | Sarah Marie Devisser | Social Worker | 16760 Lincoln St, Grand Haven, MI 49417-8864 | 2012-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164991436 | Privamd Inc | Clinic/Center | 16986 Robbins Rd, Grand Haven, MI 49417-2795 | 2018-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1619584570 | Crossover Health Medical Group | Clinic/Center | 19901 Dix Toledo Hwy, Brownstown Twp, MI 48183-1039 | 2020-09-24 |
| 1669087854 | Advance Counseling Services, LLC | Clinic/Center | 110 Trealout Dr Ste 103, Fenton, MI 48430-3211 | 2020-09-14 |
| 1104439033 | Otevwa Homes Inc | Clinic/Center | 6556 Rustic Ridge Trl, Grand Blanc, MI 48439-4956 | 2020-08-29 |
| 1245849827 | Transitions Case Management Education Inc. | Clinic/Center | 26375 Halsted Rd Apt 122, Farmington Hills, MI 48331-3762 | 2020-07-29 |
| 1689204703 | Professional Ergonomics LLC | Clinic/Center | 1754 Central Park Dr Apt H, Okemos, MI 48864-1258 | 2020-01-16 |
| 1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
| 1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
| Find all providers with the same taxonomy | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
Please comment or provide details below to improve the information on WEST SHORE OTOLARYNGOLOGY PC.
| 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.