West Shore OBGYN PLLC

Primary specialty

Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X

License

DW011812 Issued in MI

Legal business name

WEST SHORE OBGYN PLLC

Practice address

1844 E Apple Ave
Suites B & C
Muskegon, MI 49442-3881

Phone

(231) 767-1775

Fax

(231) 767-1776

NPI assigned

May 30, 2007

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Denise Marie Warren, D.O.

Title

OBGYN

Phone

(231) 767-1775

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Denise Warren,D.O. Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1013118892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 E APPLE AVE",
            "address_2": "SUITES B & C",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423881",
            "telephone_number": "231-767-1775",
            "fax_number": "231-767-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 E APPLE AVE",
            "address_2": "SUITES B & C",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423881",
            "telephone_number": "231-767-1775",
            "fax_number": "231-767-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE OBGYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OBGYN",
        "authorized_official_telephone_number": "231-767-1775",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "DW011812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4262657",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denise Warren,D.O.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• West Shore Urology PLC
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• West Shore Urology, P.L.C.

• Obstetrics & Gynecology Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.