Active NPI
Gary L Doublestein, D.O.
- Obstetrics & Gynecology Physician
- Muskegon, MI
National Provider Identifier
1760445571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101008100
- Practice address
- 1675 Leahy St Ste 201a
Muskegon, MI 49442-5542 - Phone
- (231) 672-6600
- Fax
- (231) 727-4444
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101008100 | MI | Primary |
Addresses
Primary practice location
1675 Leahy St Ste 201a
Muskegon, MI 49442-5542
Mailing address
PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 672-6600
Other practice location 1
1700 Clinton St
Muskegon, MI 49442-5502
Phone (231) 726-3511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101008100 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1760445571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431847",
"telephone_number": "231-672-6600",
"fax_number": "231-728-4691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 LEAHY ST STE 201A",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425542",
"telephone_number": "231-672-6600",
"fax_number": "231-727-4444"
}
],
"practiceLocations": [
{
"address_1": "1700 Clinton St",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494425502",
"country_code": "US",
"telephone_number": "231-726-3511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUBLESTEIN",
"first_name": "GARY",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101008100",
"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 Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.