GARY L DOUBLESTEIN (NPI# 1760445571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760445571 |
| Entity Type | Individual |
| Full Name | GARY L DOUBLESTEIN |
| Credential | D.O. |
| Practice Address |
1675 Leahy St Ste 201a Muskegon MI 49442-5542 |
| Mailing Address |
Po Box 1847 Muskegon MI 49443-1847 |
| Practice Telephone | 2316726600 |
| Practice Fax Number | 2317274444 |
| Mailing Telephone | 2316726600 |
| Mailing Fax Number | 2317284691 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2018-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 5101008100 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 Clinton St, Muskegon, MI 494425502 | 2317263511 |
| Street Address |
1675 LEAHY ST STE 201A |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710540661 | Megan Marie Glazier | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2019-04-17 |
| 1114488954 | Elizabeth Morgan Johnsen | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2019-03-26 |
| 1104311604 | Peyton Paul Faganel | Internal Medicine | 1675 Leahy St Ste 201a, Muskegon, MI 49442 | 2018-06-27 |
| 1073008017 | Chantal Yousif | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2018-06-22 |
| 1558855544 | Bryn Joelle Pape | Internal Medicine | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2018-06-21 |
| 1780177394 | Aaron Mitchell Sabal | Internal Medicine | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2018-06-08 |
| 1568959609 | Jon Michael Carnahan | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2018-04-14 |
| 1194136556 | Gregory Allan Holton Jr. | Internal Medicine | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2014-05-19 |
| 1164862033 | Katherine E Betcher | Obstetrics & Gynecology | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2013-06-25 |
| 1457527723 | Lake Mi Ent Pllc | Hearing Aid Equipment | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2008-05-06 |
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| 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 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1558710590 | Caitlyn Monks | Obstetrics & Gynecology | 1675 Leahy St # 311a, Muskegon, MI 49442-5500 | 2016-06-09 |
| 1841687027 | Erica Zaworski | Obstetrics & Gynecology | 1675 Leahy St #311a, Muskegon, MI 49442 | 2015-04-24 |
| 1932420130 | Womens Medical Services of Muskegon P C | Obstetrics & Gynecology | 863 E Apple Ave, Muskegon, MI 49442-3737 | 2010-06-22 |
| 1417113747 | Michelle Paul Bahn-palma | Obstetrics & Gynecology | 1675 Leahy St Ste 315a, Muskegon, MI 49442-5543 | 2008-08-06 |
| 1356359459 | Michael L Baker | Obstetrics & Gynecology | 2005 Addison St, Muskegon, MI 49441-1602 | 2006-08-04 |
| 1386606671 | Michael Engel | Obstetrics & Gynecology | 1828 Oak Ave, Muskegon, MI 49442-2408 | 2006-04-04 |
| 1457854770 | Jennifer Danielle Mikhail | Obstetrics & Gynecology | 1700 Clinton St, Muskegon, MI 49442-5502 | 2018-03-13 |
| 1689089716 | Brittany M Strickland | Obstetrics & Gynecology | 1675 Leahy St, Suite 311a, Muskegon, MI 49442-5500 | 2014-06-27 |
| 1225440373 | Sara A Andrews | Obstetrics & Gynecology | 1675 Leahy St, Suite 311a, Muskegon, MI 49442-5500 | 2014-05-23 |
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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.