Individual provider Active NPI

Courtney Garlick, M.D.

  • Diagnostic Radiology Physician
  • Muskegon, MI
National Provider Identifier
1285863571
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301094865 Issued in MI
Practice address
605 W Western Ave
Muskegon, MI 49440-1080
Phone
(231) 722-6005
Fax
(231) 726-2804
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301094865 MI Primary
Diagnostic Radiology Physician 2085R0202X 35.123415 OH

Addresses

Primary practice location

605 W Western Ave
Muskegon, MI 49440-1080

Mailing address

PO Box 208
Muskegon, MI 49443-0208
Phone (231) 722-6005

Other identifiers 2

IdentifierTypeStateIssuer
1285863571MedicaidMI
0103412MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727002098 MI Practitioner - Diagnostic Radiology 0143444190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Muskegon, PCGroup PAC ID 1355241191, 22 clinicians

Practice addresses (Care Compare)

1700 Clinton St
Muskegon, MI 49442-5502
Phone (231) 728-4948

Hospital & facility affiliations

  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066
  • Mercy Health Lakeshore Campus Hospital, Shelby, MI, CCN 231320
  • Trinity Health Grand Haven Hospital Hospital, Grand Haven, MI, CCN 230174
  • Corewell Health Ludington Hospital Hospital, Ludington, MI, CCN 230110

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301094865MIMDDiagnostic Radiology Physician
35.123415OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Specialty Services CurrentSince May 1, 2016 Accepting new patients
Radiology Muskegon PC Diagnostic Radiology CurrentSince Jul 13, 2015 Accepting new patients

Locations

1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

3535 Park St
Ste 105
Norton Shores, MI 49444
Phone (231) 739-7191

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1285863571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494430208",
            "telephone_number": "231-722-6005",
            "fax_number": "231-726-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W WESTERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401080",
            "telephone_number": "231-722-6005",
            "fax_number": "231-726-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLICK",
        "first_name": "COURTNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301094865",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.123415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285863571",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103412",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.