Organization Active NPI

Norton Redi Med PLLC

  • General Practice Physician
  • Muskegon, MI
National Provider Identifier
1275583106
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
WK049279 Issued in MI
Legal business name
NORTON REDI MED PLLC
Practice address
747 W Norton Ave
Muskegon, MI 49441-6526
Phone
(231) 739-7334
Fax
(231) 737-6334
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. William F Kirchhaine Jr., MD
Title
Sole Proprietor
Phone
(231) 739-7334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X WK049279 MI Primary

Addresses

Primary practice location

747 W Norton Ave
Muskegon, MI 49441-6526

Mailing address

747 W Norton Ave
Muskegon, MI 49441-6526
Phone (231) 739-7334

Other identifiers 1

IdentifierTypeStateIssuer
4517658MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1275583106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 W NORTON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494416526",
            "telephone_number": "231-739-7334",
            "fax_number": "231-737-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 W NORTON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494416526",
            "telephone_number": "231-739-7334",
            "fax_number": "231-737-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON REDI MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "KIRCHHAINE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "231-739-7334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "WK049279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4517658",
            "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 Jan 3, 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.

Verify at the official NPI Registry.