Active NPI
Harbor Country Gynecology PLLC
- Obstetrics & Gynecology Physician
- New Buffalo, MI
National Provider Identifier
1538581012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301100396
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Preskill, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Obstetrics & Gynecology Physician
- Lake Bluff, IL
- NPI 1386736338
-
- Internal Medicine Physician
- New Buffalo, MI
- NPI 1245213073
-
- Family Medicine Physician
- New Buffalo, MI
- NPI 1275516734
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.