Organization Active NPI

West Shore Urology, P.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Muskegon, MI
National Provider Identifier
1669640058
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WEST SHORE UROLOGY, P.L.C.
Practice address
1301 Mercy Dr
Muskegon, MI 49444-1837
Phone
(231) 739-9492
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Cristeen K Bench
Title
Office Administrator
Phone
(231) 739-9492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1301 Mercy Dr
Muskegon, MI 49444-1837

Mailing address

1310 Wisconsin Ave
Suite 103
Grand Haven, MI 49417-2472
Phone (231) 739-9492

National Provider Directory

National Provider Directory
Tax ID family
West Shore Urology PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1310 Wisconsin St
Ste 103
Grand Haven, MI 49417
Phone (616) 846-2640

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1669640058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WISCONSIN AVE",
            "address_2": "SUITE 103",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172472",
            "telephone_number": "231-739-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441837",
            "telephone_number": "231-739-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE UROLOGY, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "BENCH",
        "authorized_official_first_name": "CRISTEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "231-739-9492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 19, 2008; 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.