NPIMap

Organization Active NPI

Benjamin J Visger DO PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Norton Shores, MI
National Provider Identifier
1649634411
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
510109204 Issued in MI
Legal business name
BENJAMIN J VISGER DO PLLC
Practice address
1865 Lawnel Ave
Norton Shores, MI 49441-3742
Phone
(231) 740-4459
NPI assigned
Apr 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Dr. Benjamin J Visger, DONPI 1265724603
Title
President
Phone
(231) 740-4459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 510109204 MI Primary

Addresses

Primary practice location

1865 Lawnel Ave
Norton Shores, MI 49441-3742

Mailing address

1865 Lawnel Ave
Norton Shores, MI 49441-3742
Phone (231) 740-4459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160826001376 MI Part B Supplier - Clinic/Group Practice 3173818341 Receives reassigned benefits from 6 practitioners
Practice locations: North Muskegon, MI

National Provider Directory

National Provider Directory

Locations

1180 Ottawa Beach Rd
Ste 3
Holland, MI 49424

162 N Causeway St
North Muskegon, MI 49445
Phone (231) 744-3700

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1649634411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 LAWNEL AVE",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494413742",
            "telephone_number": "231-740-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 LAWNEL AVE",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494413742",
            "telephone_number": "231-740-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN J VISGER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "VISGER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-740-4459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "510109204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 7, 2016; 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.