Muskegon SC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MUSKEGON SC, LLC

Practice address

1400 Mercy Dr
Muskegon, MI 49444-1836

Phone

(720) 320-6577

NPI assigned

Aug 14, 2008

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, MD

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

Member of 2

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

• Mercy Health Partners

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

  Member Of

  NPD member
• Trinity Health - Michigan

  • Community/Retail Pharmacy
  • Ann Arbor, MI
  • NPI 1417029034

  Member Of

  NPD member

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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)

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

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.

• All providers in Muskegon, MI
• 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.