Muskegon SC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MUSKEGON SC, LLC

Doing business as

Muskegon Surgery Center

Practice address

1400 Mercy Dr
Muskegon, MI 49444-1836

Phone

(720) 320-6577

NPI assigned

Aug 14, 2008

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey D Recknagel, MDNPI 1184687147

Title

President of Board

Phone

(231) 733-1326

Specialties & licenses 1

Addresses

Other names 1

• Muskegon Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Muskegon SC LLCCCN 23C0001110

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Health Partners

  dba Trinity Health Medical Group

  • Certified Registered Nurse Anesthetist
  • Shelby, MI
  • NPI 1154910172

  Member Of

  NPD member
• Trinity Health-Michigan

  dba Mercy Health Pharmacy Solutions

  • Community/Retail Pharmacy
  • Grand Rapids, MI
  • NPI 1700321551

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Jeffrey D Recknagel, M.D.

  • Orthopaedic Surgery Physician
  • Muskegon, MI
  • NPI 1184687147
  Authorized official Same address or phone
• Craig R Hoekzema, MD

  • Otolaryngology Physician
  • Norton Shores, MI
  • NPI 1144519299
  NPD
• Matthew Allen Bowen, M.D.

  • Otolaryngology Physician
  • Norton Shores, MI
  • NPI 1174785182
  NPD (past)

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1861648404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441836",
            "telephone_number": "720-320-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKEGON SC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "RECKNAGEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD",
        "authorized_official_telephone_number": "231-733-1326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muskegon Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muskegon Hearing & Speech Center, Inc.
• Muskegon Movement Physical Therapy PLLC
• Muskegon Pediatrics, PLC
• Muskegon Pregnancy Services
• Muskegon Rheumatology P.C.
• Muskegon Surgical Associates
• Muskegon Surgical Associates PC
• Muskegon Surgical Associates Surgicenter, PLC
• Muskegon Young Men's Christian Association
• Gregory A Myers, M.D.

• Ambulatory Surgical Clinic/Center in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.