Michigan Medical, PC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MICHIGAN MEDICAL, PC.

Practice address

17691 174TH Ave
Spring Lake, MI 49456-9750

Phone

(616) 842-1276

NPI assigned

Dec 18, 2006

Last updated

Feb 5, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

MICHIGAN MEDICAL PCAs reported in NPPES

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

Authorized official

Name

Scott Harring

Title

Cfo

Phone

(616) 974-4889

Specialties & licenses 1

Addresses

Other names 1

• Ferrysburg Family Medicine Other name

Part of

MMPC Weight Management

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1386707834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 BURTON ST SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462444",
            "telephone_number": "616-974-4889",
            "fax_number": "616-974-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17691 174TH AVE",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569750",
            "telephone_number": "616-842-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MEDICAL, PC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN MEDICAL PC",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "HARRING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "616-974-4889"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferrysburg Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia Lee McNerlin, ANP-BC
• Jessica J Meengs, PT, DPT
• Brooke Ashley Meinema, DPT, FAFS
• Mi Floortime LLC
• Michigan Medical PC
• Dean T Millar, PT
• Ashley Moblo
• Heather L Molnar, AT,ATC
• Douglas Moorhead, PSY.D.
• Jamie Morris, PT, OCS, COMT, ISST

• Durable Medical Equipment & Medical Supplies in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.