Active NPI
HPCN
Doing business as Lakes Family Medicine
- Family Medicine Physician
- Muskegon, MI
National Provider Identifier
1972534121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HPCN
- Doing business as
- Lakes Family Medicine
- Practice address
- 6207 Harvey St
Ste a
Muskegon, MI 49444-9739 - Phone
- (231) 799-2515
- Fax
- (231) 799-2618
- NPI assigned
- Jul 5, 2006
- Last updated
- Jan 6, 2009
- Organization subpart
- Yes
- Parent organization
- MERCY HEALTH PARTNERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Reynolds
- Title
- Senior Director of Network Admin
- Phone
- (231) 672-6470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MI | Primary |
Addresses
Primary practice location
6207 Harvey St
Ste a
Muskegon, MI 49444-9739
Mailing address
PO Box 1148
Muskegon, MI 49443-1148
Phone (231) 727-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080F111420 | Other | MI | BCBSM |
Other names 1
- LAKES FAMILY MEDICINE
National Provider Directory
National Provider Directory- Part of
- Mercy Hospital Muskegon
Locations
6207 Harvey St
Ste A
Norton Shores, MI 49444
Phone (231) 220-0500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231200000000",
"number": "1972534121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1148",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431148",
"telephone_number": "231-727-4444",
"fax_number": "231-727-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6207 HARVEY ST",
"address_2": "STE A",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494449739",
"telephone_number": "231-799-2515",
"fax_number": "231-799-2618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HPCN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
"enumeration_date": "2006-07-05",
"last_updated": "2009-01-06",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "SENIOR DIRECTOR OF NETWORK ADMIN",
"authorized_official_telephone_number": "231-672-6470"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "080F111420",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAKES FAMILY MEDICINE",
"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 Jan 6, 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.