NPIMap

Organization Active NPI

HPCN

Doing business as Hackleylakes OBGYN

  • Obstetrics Physician
  • Muskegon, MI
National Provider Identifier
1366527814
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
HPCN
Doing business as
Hackleylakes OBGYN
Practice address
1675 Leahy St
Suite 312B
Muskegon, MI 49442-5500
Phone
(231) 728-1993
Fax
(231) 728-1994
NPI assigned
Oct 25, 2006
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Lavonne Jones
Title
Office Manager
Phone
(231) 727-7910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X Primary

Addresses

Primary practice location

1675 Leahy St
Suite 312B
Muskegon, MI 49442-5500

Mailing address

1675 Leahy St
Suite 312B
Muskegon, MI 49442-5500
Phone (231) 728-1993

Other identifiers 1

IdentifierTypeStateIssuer
160F111510OtherMIMI BCBS

Other names 1

  • HACKLEYLAKES OBGYN Doing business as

National Provider Directory

National Provider Directory

Locations

1675 Leahy St
Ste 312B
Muskegon, MI 49442
Phone (231) 728-1993

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1366527814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 312B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-728-1993",
            "fax_number": "231-728-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 312B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-728-1993",
            "fax_number": "231-728-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HPCN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAVONNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-727-7910"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI BCBS",
            "identifier": "160F111510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HACKLEYLAKES OBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 2008; 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.