NPIMap

Organization Active NPI

West Michigan ENT PC

Doing business as West Michigan ENT & Allergy

  • Otolaryngology Physician
  • Norton Shores, MI
National Provider Identifier
1124463310
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
WEST MICHIGAN ENT PC
Doing business as
West Michigan ENT & Allergy
Practice address
1450 Farr Rd
Suite 5000
Norton Shores, MI 49444-9770
Phone
(231) 739-9095
Fax
(231) 722-5147
NPI assigned
May 2, 2013
Last updated
Jul 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Dr. Matthew Bowen, M.D.NPI 1174785182
Title
President
Phone
(269) 267-2941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

1450 Farr Rd
Suite 5000
Norton Shores, MI 49444-9770

Mailing address

1450 Farr Rd
Suite 5000
Norton Shores, MI 49444-9770
Phone (231) 739-9095

Other names 1

  • West Michigan ENT & Allergy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1124463310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 FARR RD",
            "address_2": "SUITE 5000",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449770",
            "telephone_number": "231-739-9095",
            "fax_number": "231-722-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 FARR RD",
            "address_2": "SUITE 5000",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449770",
            "telephone_number": "231-739-9095",
            "fax_number": "231-722-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN ENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-267-2941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Michigan ENT & Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.