Western Michigan ENT PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WESTERN MICHIGAN ENT PC

Practice address

1806 E Parkdale Ave
Suite 3
Manistee, MI 49660-9363

Phone

(231) 398-9536

Fax

(231) 398-9541

NPI assigned

Mar 10, 2006

Last updated

Sep 11, 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

Mrs. Anne Lucina Rhodea

Title

Administrative Services Manager

Phone

(231) 398-9536

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• James Ben Hengy, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Manistee, MI
  • NPI 1740248350
  Medicare reassignment Care Compare group NPD
• Amanda Kaye Mast, FNP-C

  • Family Nurse Practitioner
  • Manistee, MI
  • NPI 1467299297
  Medicare reassignment Care Compare group NPD
• Brenda Jean McCann, AUDCCCA

  • Audiologist
  • Manistee, MI
  • NPI 1811165756
  Medicare reassignment Care Compare group NPD
• Andrew Edgar Mendians, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Manistee, MI
  • NPI 1386692218
  Medicare reassignment Care Compare group NPD
• Mary Lynn Vandrie, M.A.,CCC-A

  • Audiologist
  • East Lansing, MI
  • NPI 1174568422
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1982672408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 E PARKDALE AVE",
            "address_2": "SUITE 3",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609363",
            "telephone_number": "231-398-9536",
            "fax_number": "231-398-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 E PARKDALE AVE",
            "address_2": "SUITE 3",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609363",
            "telephone_number": "231-398-9536",
            "fax_number": "231-398-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MICHIGAN ENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "RHODEA",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "LUCINA",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES MANAGER",
        "authorized_official_telephone_number": "231-398-9536",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Shore Health Centers Corporation (Kevin Anderson, MD)
• West Shore Health Centers Corporation (Kevin Anderson MD)
• West Shore Health Centers Corporation (Edwardo Barlan MD)
• West Shore Womens Practice PC
• Western Michigan Apothecaries, Inc (The Apothecary Shoppe)
• Daryl B Wever
• Carl Walter Wilberg, D.O.
• Russell G Williams, D.O.
• Kellie R Wilson, LPN
• Nicole M Wisniewski, PA-C

• Specialist in Manistee, MI
• Providers in Manistee, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.