Shoreline Gastroenterology PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301057496 Issued in MI

Legal business name

SHORELINE GASTROENTEROLOGY PC

Practice address

1150 E Sherman Blvd
Muskegon, MI 49444-1871

Phone

(231) 737-2144

Fax

(231) 737-0597

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By 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

Dr. Guy C Power, MDNPI 1265409429

Title

Physician

Phone

(231) 737-2144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Guy C Power, M.D.

  • Gastroenterology Physician
  • Marshall, MI
  • NPI 1265409429
  NPD (past) Authorized official
• David Russell Ireland, DC

  • Chiropractor
  • Grand Haven, MI
  • NPI 1669510533
  NPD (past)
• Larry Howard Wahl, D.O.

  • Neurology Physician
  • Grand Haven, MI
  • NPI 1114991056
  NPD (past)
• Rita Ann Winteringham, PA-C

  • Physician Assistant
  • Muskegon, MI
  • NPI 1013944347
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396767422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441871",
            "telephone_number": "231-737-2144",
            "fax_number": "231-737-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441871",
            "telephone_number": "231-737-2144",
            "fax_number": "231-737-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "231-737-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301057496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4555891",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoreline Consultation Services
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• Shoreline Dental Associates, P.C.
• Shoreline ENT PLC
• Shoreline Family Medicine PC
• Shoreline Hearing Center LLC
• Shoreline Neurosurgical Consulting, PLC
• Shoreline Ophthalmology, PLLC
• Shoreline Ophthalmology, PLLC (Shoreline Optical)
• Shoreline Ophthalmology, PLLC

• Specialist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.