Shoreline ENT PLC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

SHORELINE ENT PLC

Practice address

268 Seminole Rd
Muskegon, MI 49444-3733

Phone

(231) 777-2625

Fax

(231) 773-8560

NPI assigned

Mar 15, 2007

Last updated

Jul 15, 2021By 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

Nichole Goodchild

Title

Administrator

Phone

(231) 777-2625

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1144354820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 SEMINOLE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443733",
            "telephone_number": "231-777-2625",
            "fax_number": "231-773-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 SEMINOLE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443733",
            "telephone_number": "231-777-2625",
            "fax_number": "231-773-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE ENT PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "GOODCHILD",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-777-2625"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shoreline Family Medicine PC
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• Shoreline Hearing Center LLC
• Shoreline Neurosurgical Consulting, PLC
• Shoreline Ophthalmology, PLLC

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.