Synanon Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SYNANON INC

Practice address

1091 S Beacon Blvd
Grand Haven, MI 49417-2607

Phone

(616) 604-0096

NPI assigned

Aug 8, 2007

Last updated

Jul 8, 2009By 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

Mr. Don Longpre

Title

Cfo

Phone

(616) 847-5323

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Great Lakes Compounding Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Great Lakes Compounding Pharmacy

  • Community/Retail Pharmacy
  • Grand Haven, MI
  • NPI 1720272016
  NPD tax ID
• Synanon, Inc. in Home Care Nursing

  • Home Health Agency
  • Grand Haven, MI
  • NPI 1225169469
  NPD tax ID

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1306037916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172607",
            "telephone_number": "616-604-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172607",
            "telephone_number": "616-604-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNANON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "LONGPRE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "616-847-5323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CNP GROUP",
            "identifier": "0G1123",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunflower Speech Haven
• James Eric Sutherland, D.O.
• David Hatton Swain, DDS
• Edward Carl Swart, PHD
• Courtney Amanda Swartz, RDN
• Synanon Inc
• Synanon, Inc. in Home Care Nursing
• Joseph Szymczak, DDS
• Take Heart Counseling LLC
• Angela K Tallon, MD

• Family Nurse Practitioner in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.