Organization Active NPI

HPCN

Doing business as Lakes Family Medicine

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1972534121
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080F111420OtherMIBCBSM

Other names 1

  • LAKES FAMILY MEDICINE Doing business as

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.

Verify at the official NPI Registry.