Active NPI
Paul Henri Belanger, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Norton Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 5101015391
- Practice address
- 1450 Farr Rd Ste 5000
Norton Shores, MI 49444-7789 - Phone
- (231) 777-2625
- Fax
- (231) 773-8560
- NPI assigned
- Apr 14, 2007
- Last updated
- Jul 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | PB015391 | MI | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 5101015391 | MI | Primary |
Addresses
Primary practice location
1450 Farr Rd Ste 5000
Norton Shores, MI 49444-7789
Mailing address
268 W Seminole Rd
Muskegon, MI 49444
Phone (231) 777-2625
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040E061920 | Other | MI | BLUE SHIELD GROUP |
| 5195675 | Medicaid | MI | |
| 0457410884 | Other | MI | BLUE SHIELD PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wsenta@allmedsccd.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 W Oak St
Fremont, MI 49412-1526
Phone (231) 777-2625
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PB015391 | MI | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Shore Otolaryngology PC | Current | Accepting new patients | |
| West Shore Otolaryngology PC | Current | Accepting new patients |
Locations
230 W Oak St
Fremont, MI 49412
Phone (231) 924-1305
1600 S Beacon Blvd
Ste 140
Grand Haven, MI 49417
Phone 2317772625 ext. 233
1450 Farr Rd
Norton Shores, MI 49444
Phone (231) 739-7606
1450 Farr Rd
Ste 5000
Norton Shores, MI 49444
Phone (231) 739-9095
268 Seminole Rd
Norton Shores, MI 49444
Phone (231) 739-4554
Organizations & group practices 3
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.
-
dba West Shore ENT & Allergy Farr Rd
- Multi-Specialty Clinic/Center
- Norton Shores, MI
- NPI 1548764426
-
- Otolaryngology Physician
- Norton Shores, MI
- NPI 1780979153
-
dba West Shore ENT & Allergy Grand Haven
- Multi-Specialty Clinic/Center
- Grand Haven, MI
- NPI 1871097782
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
dba Corewell Health Gerber Hospital
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1598980773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 W SEMINOLE RD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49444",
"telephone_number": "231-777-2625",
"fax_number": "231-773-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 FARR RD STE 5000",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494447789",
"telephone_number": "231-777-2625",
"fax_number": "231-773-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELANGER",
"first_name": "PAUL",
"middle_name": "HENRI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-14",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "MI",
"license": "PB015391",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MI",
"license": "5101015391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP",
"identifier": "040E061920",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5195675",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PIN",
"identifier": "0457410884",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wsenta@allmedsccd.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1450 Farr Rd Ste 5000",
"city": "Norton Shores",
"state": "MI",
"country_code": "US",
"postal_code": "494447789",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.