South Haven Family Physicians, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH HAVEN FAMILY PHYSICIANS, P.C.

Practice address

930 Blue Star Hwy
South Haven, MI 49090-7758

Phone

(269) 637-1115

Fax

(269) 639-1314

NPI assigned

Aug 31, 2006

Last updated

Mar 10, 2009By 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

Ms. Carol L Retberg, R.N.

Title

Practice Administrator

Phone

(269) 637-1115

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Gordon R Bleil, M.D.

  • Family Medicine Physician
  • South Haven, MI
  • NPI 1295847739
  NPD
• Allan D Caudill, MD

  • Surgery Physician
  • South Haven, MI
  • NPI 1346224086
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1952413403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BLUE STAR HWY",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907758",
            "telephone_number": "269-637-1115",
            "fax_number": "269-639-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BLUE STAR HWY",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907758",
            "telephone_number": "269-637-1115",
            "fax_number": "269-639-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HAVEN FAMILY PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "RETBERG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "269-637-1115",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Home LLC
• South Haven Area Emergency Services Authority
• South Haven Chiropractic Clinic
• South Haven Community Health System
• South Haven Eyecare Associates
• South Haven Opco, LLC (Medilodge of South Haven)
• Southwest Family Footcare Specialist, LLC
• Regina Lynne Spears, D.P.M.
• Spectrum Health Primary Care Partners
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)

• Family Medicine Physician in South Haven, MI
• Providers in South Haven, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.