Maureen Nicole Dewitt, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301108083 Issued in MI

Practice address

684 Harvey St Ste 201
Muskegon, MI 49442-4274

Phone

(231) 777-2732

NPI assigned

Apr 17, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Maureen Nicole Gibbs Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shoreline Pediatrics PLC

  • Pediatrics Physician
  • Muskegon, MI
  • NPI 1609874643
  NPD

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1972990943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 VULCAN ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494442344",
            "telephone_number": "231-777-2732",
            "fax_number": "231-773-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 HARVEY ST STE 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424274",
            "telephone_number": "231-777-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "MAUREEN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301108083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "GIBBS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Deveau
• Nancy Claire Devine, M.D.
• Gabriel Angelo Devivo, DO
• Cinthia Ann Devries, RBT
• Steven Howard Dewit, FNP
• Amanda Dexter
• Bonnie Lou Deyoung, RNCNP
• Roger L Deyoung, D.P.M.
• Bazamdeep Singh Dhillon
• Diabetic Foot and Wound Care Center PLLC

• 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 Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.