Organization Active NPI

Sleep Health

  • Neurology Physician
  • Portage, MI
National Provider Identifier
1811063217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SLEEP HEALTH
Practice address
3200 W Centre Ave
Ste 203
Portage, MI 49024-4889
Phone
(269) 324-0799
Fax
(269) 324-8013
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Goetting, MD
Title
Director
Phone
(269) 324-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

3200 W Centre Ave
Ste 203
Portage, MI 49024-4889

Mailing address

1541 Gull Rd
Ste 100
Kalamazoo, MI 49048-1644
Phone (269) 381-7380

National Provider Directory

National Provider Directory

Locations

3200 W Centre Ave
Ste 203
Portage, MI 49024
Phone (269) 324-0799

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811063217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 GULL RD",
            "address_2": "STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481644",
            "telephone_number": "269-381-7380",
            "fax_number": "269-341-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W CENTRE AVE",
            "address_2": "STE 203",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244889",
            "telephone_number": "269-324-0799",
            "fax_number": "269-324-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOETTING",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-324-0799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.