Port City Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PORT CITY PEDIATRICS

Practice address

1455 Farr Road
Norton Shores, MI 49444

Phone

(231) 737-0411

Fax

(231) 739-8502

NPI assigned

Jan 16, 2007

Last updated

Apr 7, 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. Richard J Golz, M.D.NPI 1073515607

Title

President

Phone

(231) 737-0411

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Richard John Golz, M.D.

  • Pediatrics Physician
  • Muskegon, MI
  • NPI 1073515607
  NPD (past) Authorized official
• Lauren Donley, DO

  • Pediatrics Physician
  • Norton Shores, MI
  • NPI 1144898149
  NPD
• Paul Thomas Alban, M.D.

  • Pediatrics Physician
  • Norton Shores, MI
  • NPI 1043488299
  NPD (past)
• Alison L Fox, MD

  • Pediatrics Physician
  • Norton Shores, MI
  • NPI 1225052400
  NPD (past)
• Michael James Galvin, M.D.

  • Pediatrics Physician
  • Muskegon, MI
  • NPI 1386646883
  NPD (past)
• Dustin Miller, M.D.

  • Pediatrics Physician
  • Norton Shores, MI
  • NPI 1225440274
  NPD (past)
• Karl F Nicles, M.D.

  • Pediatrics Physician
  • Norton Shores, MI
  • NPI 1235130469
  NPD (past)
• Elizabeth Fisher Pallante, M.D.

  • Pediatrics Physician
  • Muskegon, MI
  • NPI 1053313080
  NPD (past)
• Jessica Anna Pedersen, M.D.

  • Pediatrics Physician
  • North Muskegon, MI
  • NPI 1992144687
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1558413245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 FARR ROAD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-737-0411",
            "fax_number": "231-739-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 FARR ROAD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-737-0411",
            "fax_number": "231-739-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "GOLZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-737-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guerin William Pierre, DDS
• Karen L Pierre, DDS
• Dean Thomas Pierson, R.N.
• Jared August Plemon, D.C.
• Megan Ponik, PHARMD
• Arthur James Potter Jr., MD
• Prac Holdings, Inc. (Arcadia Home Care & Staffing)
• Laterra Shantel Pringle
• Professional Dental Alliance of Muskegon, PLLC
• Melissa Prus, PT, DPT

• Pediatrics Physician in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.