Active NPI
West Michigan Gastroenterology PLC
- Gastroenterology Physician
- Muskegon, MI
National Provider Identifier
1679633929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- WEST MICHIGAN GASTROENTEROLOGY PLC
- Practice address
- 1675 Leahy
Suite 324B
Muskegon, MI 49442-5500 - Phone
- (231) 726-5075
- Fax
- (231) 722-1827
- NPI assigned
- Dec 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John P Egan Jr., MD
- Title
- Chief Executive Officer
- Phone
- (231) 726-5075
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1675 Leahy
Suite 324B
Muskegon, MI 49442-5500
Mailing address
1675 Leahy
Suite 324B
Muskegon, MI 49442-5500
Phone (231) 726-5075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM6445 | Other | MI | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1675 Leahy St
#342B
Muskegon, MI 49442
Phone (231) 726-5075
1675 Leahy St
Ste 324B
Muskegon, MI 49442
Phone (231) 672-8700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Muskegon, MI
- NPI 1689665549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1679633929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 LEAHY",
"address_2": "SUITE 324B",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425500",
"telephone_number": "231-726-5075",
"fax_number": "231-722-1827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 LEAHY",
"address_2": "SUITE 324B",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425500",
"telephone_number": "231-726-5075",
"fax_number": "231-722-1827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST MICHIGAN GASTROENTEROLOGY PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-09",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "EGAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "231-726-5075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CM6445",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
- Rachel Wessel, BA
- West Coast Anesthesia PLLC
- West Coast Pediatric Dentistry, P.C.
- West Michigan Emergency Services PC
- West Michigan ENT PLC
- West Michigan Heart
- West Michigan Helping Hand Home Health Care Services LLC
- West Michigan Internal Medicine PLC
- West Michigan MNT,LLC
- West Michigan Nephrology PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.