Organization Active NPI

WKQ, Inc

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1881789980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WKQ, INC
Practice address
420 Whitehall Rd
Muskegon, MI 49445
Phone
(231) 744-4743
NPI assigned
Oct 4, 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. Erwin Leroy Grasman, M.D.NPI 1780779298
Title
President
Phone
(231) 744-4743

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

420 Whitehall Rd
Muskegon, MI 49445

Mailing address

420 Whitehall Rd
Muskegon, MI 49445
Phone (231) 744-4743

Other names 1

  • NORTHSIDE IMMEDIATE CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

420 Whitehall Rd
Ste 4
North Muskegon, MI 49445
Phone (231) 744-4743

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881789980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WHITEHALL RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49445",
            "telephone_number": "231-744-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WHITEHALL RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49445",
            "telephone_number": "231-744-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WKQ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRASMAN",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-744-4743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHSIDE IMMEDIATE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.