NPIMap

Organization Active NPI

Harbour Towne Health PLLC

  • Medical Physician Assistant
  • Norton Shores, MI
National Provider Identifier
1649647876
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601002156 Issued in MI
Legal business name
HARBOUR TOWNE HEALTH PLLC
Practice address
131 W Seaway Dr
Norton Shores, MI 49444-3759
Phone
(231) 375-8065
Fax
(231) 375-8063
NPI assigned
Aug 24, 2015
Last updated
Apr 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
David Wilkins, PANPI 1740230200
Title
Owner
Phone
(231) 375-8065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601002156 MI Primary
Clinical Social Worker 1041C0700X 6801062394 MI

Addresses

Primary practice location

131 W Seaway Dr
Norton Shores, MI 49444-3759

Mailing address

131 W Seaway Dr
Norton Shores, MI 49444-3759
Phone (231) 375-8065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160421000920 MI Part B Supplier - Clinic/Group Practice 3577861749 Receives reassigned benefits from 10 practitioners
Practice locations: Norton Shores, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2117376Harbour Towne Health131 Seaway Drive Suite 200, Muskegon, MI 49444Certificate of waiverAug 15, 2026

National Provider Directory

National Provider Directory

Locations

131 W Seaway Dr
Norton Shores, MI 49444
Phone (231) 375-8065

131 W Seaway Dr
Ste 200
Norton Shores, MI 49444
Phone (231) 375-8065

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1649647876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W SEAWAY DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443759",
            "telephone_number": "231-375-8065",
            "fax_number": "231-375-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W SEAWAY DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443759",
            "telephone_number": "231-375-8065",
            "fax_number": "231-375-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR TOWNE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-375-8065",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002156",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062394",
            "primary": false
        }
    ],
    "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 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.