West Shore Otolaryngology PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WEST SHORE OTOLARYNGOLOGY PC

Practice address

1450 Farr Rd Ste 5000
Norton Shores, MI 49444-7789

Phone

(231) 777-2625

Fax

(231) 773-8560

NPI assigned

Mar 26, 2018

Organization subpart

Yes

Parent organization

WEST SHORE OTOLARYNGOLOGY PCAs reported in NPPES

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

Authorized official

Name

Paul E Lomeo, DO

Title

Vice President

Phone

(231) 777-2625

Specialties & licenses 1

Addresses

Other names 1

• West Shore ENT & Allergy Seminole Rd Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• West Shore Otolaryngology PC

  • Multi-Specialty Clinic/Center
  • Norton Shores, MI
  • NPI 1548764426

  O20180430001754

  Same enrollment
• West Shore Otolaryngology PC

  • Multi-Specialty Clinic/Center
  • Grand Haven, MI
  • NPI 1871097782

  O20180430001754

  Same enrollment

Tax ID family

West Shore Otolaryngology PC3 organizations share this tax ID, including this one

Part of

West Shore Otolaryngology PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• West Shore Otolaryngology PC

  • Audiologist-Hearing Aid Fitter
  • Grand Haven, MI
  • NPI 1396223228
  NPD tax ID
• West Shore Otolaryngology PC

  • Multi-Specialty Clinic/Center
  • Grand Haven, MI
  • NPI 1871097782
  NPD tax ID

Locations

Practitioners 1

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

• Dakota K Degroot, PA-C

  • Physician Assistant
  • Portage, MI
  • NPI 1790561546
  NPD

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1639674435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 FARR RD STE 5000",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494447789",
            "telephone_number": "231-739-9095",
            "fax_number": "231-722-5147"
        },
        {
            "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": {
        "organization_name": "WEST SHORE OTOLARYNGOLOGY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST SHORE OTOLARYNGOLOGY PC",
        "enumeration_date": "2018-03-26",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "LOMEO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "231-777-2625",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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": [
        {
            "organization_name": "West Shore ENT & Allergy Seminole Rd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Michigan Eye & Laser
• West Michigan Home Health, Inc
• West Michigan Midwifery
• West Shore Oral & Maxillofacial Surgery Associates, PLC
• West Shore Otolaryngology PC
• Sarah Westenbroek, DNP, FNP-BC
• Melissa Westerhof
• Jennifer Lynn Wheeler
• Hadley Whitaker
• Chelsey White

• Multi-Specialty Clinic/Center in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.