Active NPI
Johnson Family Center for Cancer Care
- Radiation Oncology Physician
- Muskegon, MI
National Provider Identifier
1366466948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- JOHNSON FAMILY CENTER FOR CANCER CARE
- Practice address
- 1440 E Sherman Blvd
Muskegon, MI 49444-1816 - Phone
- (231) 672-2008
- NPI assigned
- Jul 27, 2006
- Reactivated
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Paul Gusho
- Title
- Chief Financial Officer
- Phone
- (734) 398-0642
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
1440 E Sherman Blvd
Muskegon, MI 49444-1816
Mailing address
PO Box 1847
Muskegon, MI 49443-1847
National Provider Directory
National Provider Directory- Tax ID family
- Cobius Healthcare Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiation Oncology Clinic/Center
- Muskegon, MI
- NPI 1639368293
Locations
1836 Oak Ave
Muskegon, MI 49442
Phone (231) 733-3828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728518400000",
"number": "1366466948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441816",
"telephone_number": "231-672-2008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON FAMILY CENTER FOR CANCER CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"deactivation_date": "2007-11-05",
"reactivation_date": "2007-11-26",
"status": "A",
"authorized_official_last_name": "GUSHO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "734-398-0642"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.