HPCN

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

HPCN

Practice address

1675 Leahy St
Suite 324B
Muskegon, MI 49442-5500

Phone

(231) 726-5075

Fax

(231) 728-7827

NPI assigned

Sep 12, 2006

Organization subpart

No

Name

Mrs. Linda Ellison

Title

Manager

Phone

(231) 728-1678

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly Crandell Hutchinson, APRN, BC

  • Family Nurse Practitioner
  • Iron Mountain, MI
  • NPI 1396763736
  NPD (past)
• Mohammad Khalouck Abdrabbo, MD

  • Gastroenterology Physician
  • Montgomery, OH
  • NPI 1104828201

  Gastroenterology

  NPD (past)

• HACKLEY SPECIALITY CARE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2008.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508960071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 324B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-726-5075",
            "fax_number": "231-728-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 324B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-726-5075",
            "fax_number": "231-728-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HPCN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "231-728-1678",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4744440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HACKLEY SPECIALITY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• HPCN
• HPCN
• HPCN
• HPCN
• HPCN
• HPCN
• HPCN
• HPCN
• HPCN
• HPCN

• All providers in Muskegon, MI
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.