Muskegon Pediatrics, PLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MUSKEGON PEDIATRICS, PLC

Practice address

888 Terrace St
Muskegon, MI 49440-1220

Phone

(517) 294-8741

NPI assigned

Mar 17, 2020

Last updated

Mar 17, 2020By 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. Jennifer Marie King, MDNPI 1558591073

Title

Owner, Physician

Phone

(517) 294-8741

Specialties & licenses 1

Addresses

Other identifiers 3

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Jennifer King, MD

  • Pediatrics Physician
  • Muskegon, MI
  • NPI 1558591073
  NPD (past) Authorized official

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1891321352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16703 POND CRK",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569792",
            "telephone_number": "517-294-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 TERRACE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401220",
            "telephone_number": "517-294-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKEGON PEDIATRICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "517-294-8741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558591073",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5315053660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION LICENSING",
            "identifier": "802429468",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muskegon Cooperative, Inc (Co-Optical Service)
• Muskegon County Health Department
• Muskegon General Surgery PLC
• Muskegon Hearing & Speech Center, Inc.
• Muskegon Movement Physical Therapy PLLC
• Muskegon Pregnancy Services
• Muskegon Rheumatology P.C.
• Muskegon SC, LLC (Muskegon Surgery Center)
• Muskegon Surgical Associates
• Muskegon Surgical Associates PC

• Pediatrics Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.