Active NPI
George Scott Renton, D.O.
- Internal Medicine Physician
- Muskegon, MI
National Provider Identifier
1215921614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101007424
- Practice address
- 957 Broookhaven CT
Building E Suite 3 & 4
Muskegon, MI 49442-3886 - Phone
- (231) 777-5906
- Fax
- (231) 773-8904
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101007424 | MI | Primary |
Addresses
Primary practice location
957 Broookhaven CT
Building E Suite 3 & 4
Muskegon, MI 49442-3886
Mailing address
957 Brookhaven CT
Building E Ste 3 & 4
Muskegon, MI 49442-3890
Phone (231) 777-5906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2720950-11 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007424 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1215921614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 BROOKHAVEN CT",
"address_2": "BUILDING E STE 3 & 4",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494423890",
"telephone_number": "231-777-5906",
"fax_number": "231-773-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 BROOOKHAVEN CT",
"address_2": "BUILDING E SUITE 3 & 4",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494423886",
"telephone_number": "231-777-5906",
"fax_number": "231-773-8904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTON",
"first_name": "GEORGE",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101007424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2720950-11",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.