Organization Active NPI

Andrew C. Kleaveland, M.D., P.C.

  • Pulmonary Disease Physician
  • Muskegon, MI
National Provider Identifier
1649307364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
207RP1001X Issued in MI
Legal business name
ANDREW C. KLEAVELAND, M.D., P.C.
Practice address
1560 East Sherman Boulevard
Suite 150
Muskegon, MI 49444-1867
Phone
(231) 733-8145
Fax
(231) 733-5394
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew C Kleaveland, M.D.
Title
Owner
Phone
(231) 733-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 207RP1001X MI Primary

Addresses

Primary practice location

1560 East Sherman Boulevard
Suite 150
Muskegon, MI 49444-1867

Mailing address

1560 E Sherman Blvd
Suite 150
Muskegon, MI 49444-1867
Phone (231) 733-8145

Other identifiers 2

IdentifierTypeStateIssuer
1653718MedicaidMI
AK048293OtherMIBLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649307364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E SHERMAN BLVD",
            "address_2": "SUITE 150",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441867",
            "telephone_number": "231-733-8145",
            "fax_number": "231-733-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 EAST SHERMAN BOULEVARD",
            "address_2": "SUITE 150",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441867",
            "telephone_number": "231-733-8145",
            "fax_number": "231-733-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW C. KLEAVELAND, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEAVELAND",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-733-8145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "207RP1001X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1653718",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AK048293",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.