JUSTIN DANIEL DONOGHUE (NPI# 1295346104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295346104 |
| Entity Type | Individual |
| Full Name | JUSTIN DANIEL DONOGHUE |
| Practice Address |
71 Hughey St Muskegon MI 49445-2115 |
| Practice Telephone | 9892803799 |
| Mailing Telephone | 9892803799 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704313630 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4704313630 | 05 |
| Street Address |
71 HUGHEY ST |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49445-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1154874311 | Debbie Freed | Contractor | 3444 Automobile Road, Muskegon, MI 49445 | 2016-07-25 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1750637492 | Zenaida Vasquez-johnson | Dental Hygienist | 650 Horton Road, N. Muskegon, MI 49445 | 2012-07-31 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1558543322 | Dawn June Prince | Technician/Technologist | 1343 Whitehall Road, Muskegon, MI 49445 | 2007-12-03 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1386700318 | Sharon Rubick | Durable Medical Equipment & Medical Supplies | 2411 Lake Ave, #21, North Muskegon, MI 49445 | 2006-12-27 |
| 1962574129 | Thompson Greig Boyd | Dentist | 200 Holton Rd, Suite H, North Muskegon, MI 49445 | 2006-11-14 |
| 1467548974 | Stephanie Jo Grinstead | Physical Therapy Assistant | 1712 Holton Road, Suite B, Muskegon, MI 49445 | 2006-10-04 |
| Find all providers in zip 49445 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720626641 | Ellen Grace Tebos | Nurse Practitioner | 550 W Western Ave Apt 307, Muskegon, MI 49440-1086 | 2019-12-11 |
| 1952955098 | Jacqueline Somerville | Nurse Practitioner | 1481 Logan Rd, Muskegon, MI 49445-1575 | 2019-07-26 |
| 1780169367 | Lindsey Kathryn Weesies | Nurse Practitioner | 1675 Leahy St Ste 428b, Muskegon, MI 49442-5500 | 2018-09-28 |
| 1831606029 | Tonnie Thomson | Nurse Practitioner | 2558 Henry St, Muskegon, MI 49441-3024 | 2018-01-09 |
| 1851310361 | Susan K Strickfaden | Nurse Practitioner | 1440 E Sherman Blvd Ste 300, Muskegon, MI 49444-1816 | 2006-07-18 |
| 1588665574 | Valerie A Ahern | Nurse Practitioner | 3535 Park St, Suite 110, Muskegon, MI 49444-3736 | 2005-08-02 |
| 1447251442 | Margaret E Rosina Wolter | Nurse Practitioner | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2005-08-02 |
| 1154934842 | Nicklas Lee Raycraft | Nurse Practitioner | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-08-24 |
| 1508492570 | Zachary Mark Whittle | Nurse Practitioner | 2201 S Getty St, Muskegon, MI 49444-1207 | 2020-03-21 |
| 1851924278 | Jodi L Jongekryg | Nurse Practitioner | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2020-02-13 |
| 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.