Shoreline Neurosurgical Consulting, PLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SHORELINE NEUROSURGICAL CONSULTING, PLC

Practice address

1675 Leahy St.
Suite 401
Muskegon, MI 49442

Phone

(231) 728-4243

Fax

(231) 722-5074

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Diane Reeves

Title

Billing Coordinater

Phone

(231) 728-4243

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kimball N Pratt, M.D.

  • Neurological Surgery Physician
  • Norman, OK
  • NPI 1588608293
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1104005065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST.",
            "address_2": "SUITE 401",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49442",
            "telephone_number": "231-728-4243",
            "fax_number": "231-722-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST.",
            "address_2": "SUITE 401",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49442",
            "telephone_number": "231-728-4243",
            "fax_number": "231-722-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE NEUROSURGICAL CONSULTING, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BILLING COORDINATER",
        "authorized_official_telephone_number": "231-728-4243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoreline Dental Associates, P.C.
• Shoreline ENT PLC
• Shoreline Family Medicine PC
• Shoreline Gastroenterology PC
• Shoreline Hearing Center LLC
• Shoreline Ophthalmology, PLLC
• Shoreline Ophthalmology, PLLC
• Shoreline Ophthalmology, PLLC
• Shoreline Ophthalmology, PLLC
• Shoreline Optical, LLC

• Specialist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.