HPCN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SF064116 Issued in MI

Legal business name

HPCN

Doing business as

Family Medical Associates

Practice address

3535 Park St
Suite 110
Muskegon, MI 49444-3736

Phone

(231) 739-9713

NPI assigned

Nov 8, 2006

Last updated

Mar 31, 2008By 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

Mrs. Linda Ellison

Title

Accounting Manager

Phone

(231) 728-1678

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Medical Associates Doing business as

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.

• Susan Carol Fabrick, M.D.

  • Family Medicine Physician
  • Muskegon, MI
  • NPI 1891704599
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1184793408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PARK ST",
            "address_2": "SUITE 110",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-739-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PARK ST",
            "address_2": "SUITE 110",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-739-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HPCN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "231-728-1678",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SF064116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0806110231",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia Hovey Wright, ACSW
• Keauna Lynn Howard, RN
• Pamela A Howard, RN
• Amy J Howder
• HPCN
• HPCN (Hackley Internal Medicine)
• HPCN (Hackleylakes OBGYN)
• HPCN (Harborwood Family Medicine)
• HPCN (Harborwood at the Lakes)
• HPCN (Hackley Speciality Care)

• Family Medicine Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.