Memorial Medical Center of West Michigan
Organization Active NPI Family Medicine Physician · Ludington, MI
NPI 1144639360 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1144639360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
- Practice address
- 5 N Atkinson Dr
Ludington, MI 49431-2918 - Phone
- (231) 845-3615
- NPI assigned
- Aug 13, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Authorized official
- Name
- Ryan Catignani
- Title
- VP, Provider Services
- Phone
- (947) 522-0008
Other NPIs on the same Medicare enrollment 2
Practitioners 151
-
Heather M Adams, MD
-
Anna Lisa Alperovich, M.D.
-
Jusith A Amparo, DO
-
Amelia Joy Ashcraft, PA-C
-
Bret Gregory Autrey, D.O.
-
Amy L Banks-Venegoni, M.D.
-
Paige Kristine Barber, PA-C
-
Timothy M Bont, M.D.
-
Javin Hastin Brita, PA-C
-
Dianna Brown, NP
-
Ruth Ann Bruce, D.O.
-
Patrick P Bulinski, M.D.
-
Madison Leigh Chapman, FNP-C
-
Brittany Marie Cline, FNP-BC
-
David F Colombo, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071128000647 | MI | Part B Supplier - Clinic/Group Practice | 3678543659 |
Receives reassigned benefits from 185 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Scottsville, MI; Ludington, MI; Grant, MI; Hesperia, MI; Hart, MI |
National Provider Directory
- Part of
- William Sutter
Locations
5 Atkinson Dr
Ludington, MI 49431
Phone (231) 733-7777
7 Atkinson Dr
Ste 200
Ludington, MI 49431
Phone (231) 843-2664
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Pediatric Adolescent Medicine Physician |
2080A0000X | |||
| Behavioral Neurology & Neuropsychiatry Physician |
2084B0040X |
Addresses
Primary practice location
5 N Atkinson Dr
Ludington, MI 49431-2918
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790
Other names
- Corewell Health Ludington Hospital Professional
Other providers in Ludington, MI
- Dewan Brandll McPherson
- Meijer Inc
- Memorial Center of West Michigan
- Memorial Medical Center of West Michigan
- Memorial Medical Center of West Michigan
- Memorial Medical Center of West Michigan
- Memorial Medical Center of West Michigan
- Memorial Medical Center of West Michigan
- Memorial Medical Center of West Michigan
- Memorial Medical Center of West Michigan
All providers in Ludington, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.