West Shore Otolaryngology PC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

WEST SHORE OTOLARYNGOLOGY PC

Doing business as

West Shore ENT & Allergy

Practice address

16760 Lincoln St
Grand Haven, MI 49417

Phone

(616) 414-9062

Fax

(616) 414-9063

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Matthew A Bowen, MD

Title

Vice President

Phone

(231) 739-9095

Specialties & licenses 2

Addresses

Other names 1

• West Shore ENT & Allergy Doing business as

Electronic endpoints 1

Tax ID family

West Shore Otolaryngology PC3 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.

• West Shore Otolaryngology PC

  • Multi-Specialty Clinic/Center
  • Norton Shores, MI
  • NPI 1639674435
  NPD tax ID
• West Shore Otolaryngology PC

  • Multi-Specialty Clinic/Center
  • Grand Haven, MI
  • NPI 1871097782
  NPD tax ID

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1396223228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 FARR RD STE 5000",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494447789",
            "telephone_number": "231-739-9095",
            "fax_number": "231-722-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16760 LINCOLN ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-414-9062",
            "fax_number": "616-414-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "MI",
            "postal_code": "494121526",
            "country_code": "US",
            "telephone_number": "231-777-2625",
            "fax_number": "231-773-8560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5816 W US Highway 10",
            "address_purpose": "LOCATION",
            "city": "Ludington",
            "state": "MI",
            "postal_code": "494312450",
            "country_code": "US",
            "telephone_number": "231-739-9095",
            "fax_number": "231-722-5147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Farr Rd Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494447789",
            "country_code": "US",
            "telephone_number": "231-739-9095",
            "fax_number": "231-722-5147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Farr Rd Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494447789",
            "country_code": "US",
            "telephone_number": "231-777-2625",
            "fax_number": "231-773-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST SHORE OTOLARYNGOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "231-739-9095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "westshoreentallergy@allmedsccd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1450 Farr Rd Ste 5000",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494447789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "West Shore ENT & Allergy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Shore ENT & Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James John Welsh, MA, CCC-A
• Wendy Elzinga Ma LLP, PLLC
• Melissa Wessel, DC
• Robert J Wessel, B.S.
• West Michigan Heart
• West Shore Otolaryngology PC
• Heather Westbrook, LBSW
• Alyssa Uganski Westrate, OD
• Linda Louise White, NP
• Abbey Marie Wierda, MA, LPC, LLMFT

• Audiologist-Hearing Aid Fitter in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.