NPIMap

Organization Active NPI

Edward J. Stehouwer, M.D., P.L.L.C.

  • Colon & Rectal Surgery Physician
  • Muskegon, MI
National Provider Identifier
1033467493
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
38469 Issued in MI
Legal business name
EDWARD J. STEHOUWER, M.D., P.L.L.C.
Practice address
1675 Leahy St
Suite 300 - B
Muskegon, MI 49442-5500
Phone
(231) 728-5567
Fax
(231) 725-7134
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Edward J. Stehouwer, M.D.
Title
President
Phone
(231) 728-5567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 38469 MI Primary

Addresses

Primary practice location

1675 Leahy St
Suite 300 - B
Muskegon, MI 49442-5500

Mailing address

1675 Leahy St
Suite 300 - B
Muskegon, MI 49442-5500
Phone (231) 728-5567

National Provider Directory

National Provider Directory

Locations

1675 Leahy St
Ste 300B
Muskegon, MI 49442
Phone (231) 728-5567

1675 Leahy St
Ste 300
Muskegon, MI 49442
Phone (231) 728-5567

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1033467493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 300 - B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-728-5567",
            "fax_number": "231-725-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 300 - B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-728-5567",
            "fax_number": "231-725-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. STEHOUWER, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "STEHOUWER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-728-5567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "38469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.