Individual provider Active NPI

Regina Ramirez

  • Pediatrics Physician
  • Muskegon, MI
National Provider Identifier
1407026677
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301106283 Issued in MI
Practice address
684 Harvey St Ste 201
Muskegon, MI 49442-4274
Phone
(231) 777-2732
Fax
(231) 773-8979
NPI assigned
Mar 4, 2008
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301106283 MI Primary

Addresses

Primary practice location

684 Harvey St Ste 201
Muskegon, MI 49442-4274

Mailing address

2680 Vulcan St
Norton Shores, MI 49444-2344
Phone (231) 777-2732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4301106283MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Pediatrics PLC Pediatrics CurrentSince Mar 5, 2023 Accepting new patients

Locations

684 Harvey St
Ste 201
Muskegon, MI 49442
Phone (231) 773-7837

2680 Vulcan St
Norton Shores, MI 49444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1407026677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 VULCAN ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494442344",
            "telephone_number": "231-777-2732",
            "fax_number": "231-773-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 HARVEY ST STE 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424274",
            "telephone_number": "231-777-2732",
            "fax_number": "231-773-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "REGINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301106283",
            "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 Apr 14, 2023; 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.