Organization Active NPI

Harbor Country Gynecology PLLC

  • Obstetrics & Gynecology Physician
  • New Buffalo, MI
National Provider Identifier
1538581012
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301100396 Issued in MI
Legal business name
HARBOR COUNTRY GYNECOLOGY PLLC
Practice address
225 S Whittaker St
New Buffalo, MI 49117-1377
Phone
(269) 469-0207
Fax
(269) 469-7330
NPI assigned
Jan 17, 2014
Last updated
Jan 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Dr. David Preskill, MDNPI 1386736338
Title
Owner
Phone
(269) 469-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301100396 MI Primary

Addresses

Primary practice location

225 S Whittaker St
New Buffalo, MI 49117-1377

Mailing address

545 Groveland Ave
Highland Park, IL 60035-5067
Phone (847) 362-0100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1538581012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 GROVELAND AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355067",
            "telephone_number": "847-362-0100",
            "fax_number": "847-918-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S WHITTAKER ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171377",
            "telephone_number": "269-469-0207",
            "fax_number": "269-469-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR COUNTRY GYNECOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "PRESKILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-469-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301100396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Buffalo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.