Pennock Hospital

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PENNOCK HOSPITAL

Practice address

1005 W Green St
Hastings, MI 49058-1712

Phone

(269) 945-8080

NPI assigned

Feb 3, 2010

Organization subpart

Yes

Parent organization

PENNOCK HOSPITALAs reported in NPPES

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

Authorized official

Name

Deidre Weller

Title

Controller

Phone

(269) 945-1212

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pennock Hospital

  • Surgery Physician
  • Hastings, MI
  • NPI 1215221353

  O20040301000595

  Same enrollment
• Pennock Hospital

  dba Corewell Health Pennock Hospital Professional

  • Family Medicine Physician
  • Hastings, MI
  • NPI 1518186295

  O20040301000595

  Same enrollment
• Pennock Hospital

  • Orthopaedic Surgery Physician
  • Hastings, MI
  • NPI 1629494133

  O20040301000595

  Same enrollment
• Pennock Hospital

  dba Specialist Group

  • Internal Medicine Physician
  • Hastings, MI
  • NPI 1750500435

  O20040301000595

  Same enrollment
• Pennock Hospital Board of Trustees

  dba Specialist Group

  • Emergency Medicine Physician
  • Hastings, MI
  • NPI 1841488178

  O20040301000595

  Same enrollment

Part of

Deborah a Joseph DO

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald J Gingerich, D.O.

  • Family Medicine Physician
  • Ionia, MI
  • NPI 1043311772
  NPD

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1023340981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581712",
            "telephone_number": "269-945-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNOCK HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENNOCK HOSPITAL",
        "enumeration_date": "2010-02-03",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "269-945-1212"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fergus Munro Peacock, M.D.
• Meghan Pearson, MA TLLP, RAC
• Pediatric Psychological Services
• Whitney Pennington
• Pennock Hospital (Spectrum Health Pennock)
• Pennock Hospital
• Pennock Hospital (Corewell Health Pennock Hospital)
• Pennock Hospital (Corewell Health Pennock Hospital Family Medicine - State St)
• Pennock Hospital (Pennock Hospice)
• Pennock Hospital (Corewell Health Pennock Hospital Professional)

• Obstetrics & Gynecology Physician in Hastings, MI
• Providers in Hastings, 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 Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.