SHORELINE NEUROSURGICAL CONSULTING, PLC (NPI# 1104005065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104005065 |
| Entity Type | Organization |
| Organization Name | SHORELINE NEUROSURGICAL CONSULTING, PLC |
| Practice Address |
1675 Leahy St. Suite 401 Muskegon MI 49442 |
| Practice Telephone | 2317284243 |
| Practice Fax Number | 2317225074 |
| Mailing Telephone | 2317284243 |
| Mailing Fax Number | 2317225074 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2009-06-02 |
| Authorized Official Name | MS. DIANE REEVES (BILLING COORDINATER) |
| Authorized Official Telephone | 2317284243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1675 LEAHY ST. SUITE 401 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093010175 | Daniel Clapper | Specialist | 2021 Hoyt St, Muskegon, MI 49444-1118 | 2011-01-20 |
| 1649368093 | John E Mcdonald | Specialist | 1762 Wagner Ave, Muskegon, MI 49442-2400 | 2006-10-11 |
| 1275553513 | Raymond Robert Komray | Specialist | 1365 Mercy Dr, Muskegon, MI 49444-1837 | 2006-07-20 |
| 1639123771 | John Leclaire M.d., P.l.c. | Specialist | 172 E Forest Ave, Muskegon, MI 49442-5541 | 2006-05-22 |
| 1487621967 | Daniel Weller | Specialist | 1440 E Harbour Towne Cir, Muskegon, MI 49441-6401 | 2006-03-03 |
| 1396740825 | Hikmet H Sipahi II | Specialist | 1440 E Sherman Blvd, Suite 200, Muskegon, MI 49444-1816 | 2005-06-21 |
| 1255334397 | Willard Peter Debraber | Specialist | 1761 Wells Ave, Muskegon, MI 49442-2459 | 2005-05-23 |
| 1932721602 | Joshua Stewart Vandenberg | Specialist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-05-15 |
| 1437626942 | Kelly J Stafford | Specialist | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-11-01 |
| 1669875779 | Kathy Varboncoeur | Specialist | 1823 Commerce St, Muskegon, MI 49441-2608 | 2014-10-02 |
| Find all providers in MUSKEGON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.