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WEST SHORE MEDICAL CENTER PHYSICIAN SERVICES
NPI 1144512849
Surgery in Manistee, MI

Active since May 12, 2011CLIA Certified · 4 labs
1293 E PARKDALE AVE, MANISTEE, MI 49660(231) 398-1750(231) 398-1751 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2022, Aug 19, 2021 (2 updates tracked since 2021).

About West Shore Medical Center Physician Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST SHORE MEDICAL CENTER PHYSICIAN SERVICES (NPI 1144512849) is a healthcare organization registered as a surgery in Manistee, Michigan and active in the NPI registry since May 2011. The organization holds 4 active CLIA laboratory certificates and lists Ellen O Smith, President Ambulatory Clinics, as its authorized official.

NPPES Registry Identity

NPI1144512849
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMUNSON HEALTHCARE MANISTEE
Location Address1293 E PARKDALE AVEManistee, MI 49660-8904
Mailing Address315 Oakgrove StManistee, MI 49660-1176 · (231) 398-9266 · Fax (231) 398-9268
Phone(231) 398-1750
Fax(231) 398-1751
Organization SubpartNo
Authorized OfficialEllen O SmithPresident Ambulatory Clinics · (231) 935-5000
Enumeration DateMay 12, 2011
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1144512849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
1293 E PARKDALE AVE, Manistee, MI 49660
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Other Names 1

Doing Business AsWest Shore Medical Center Physician Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0936718

Munson Healthcare Manistee Physician Offices · Manistee, MI
Active · expires Mar 14, 2028
CLIA Number23D0936718
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorBrian J. Mccomb
Laboratory Phone(231) 398-1245
Laboratory LocationMunson Healthcare Manistee Physician Offices1293 E Parkdale Ave, Manistee, MI 49660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2071864

Munson Healthcare Manistee Hospital · Manistee, MI
Active · expires Jan 20, 2028
CLIA Number23D2071864
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorBrian J. Mccomb
Laboratory Phone(231) 398-1245
Laboratory LocationMunson Healthcare Manistee Hospital1293 E Parkdale Ave, Manistee, MI 49660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2111787

Munson Healthcare Manistee Hospital · Manistee, MI
Active · expires Apr 14, 2028
CLIA Number23D2111787
Laboratory TypeAmbulance
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorJennifer Singleton
Laboratory Phone(231) 398-1103
Laboratory LocationMunson Healthcare Manistee Hospital1465 E Parkdale Avenue, Manistee, MI 49660
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 23D0037959

Munson Healthcare Manistee Hospital · Manistee, MI
Active · expires Jan 16, 2028
CLIA Number23D0037959
Laboratory TypeHospital
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorDr. Steven C. Weindorf
Laboratory Phone(231) 398-1245
Laboratory LocationMunson Healthcare Manistee Hospital1465 East Parkdale Avenue, Manistee, MI 49660
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST SHORE HEALTH CENTERS CORPORATION
Orthopaedic Surgery
1293 E PARKDALE AVE, STE 2300B
MANISTEE, MI 49660
Manistee County (231) 398-1735
DR. KRYSTAL KAY JOHNSTON M.D.
Pediatrics
1293 E PARKDALE AVE, SUITE 1200
MANISTEE, MI 49660
Manistee County (231) 398-1710
TRACY ROBINSON NP
Nurse Practitioner (Family)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Manistee County (231) 398-1550
JESSICA JEAN DUNCAN PA-C
Physician Assistant (Medical)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Manistee County (231) 398-1840
MANISTEE DERMATOLOGY
Legal Medicine
1293 E PARKDALE AVE, SUITE 2500
MANISTEE, MI 49660
Manistee County (231) 398-1700
DR. MARIAN FULLER MD
Obstetrics & Gynecology
1293 E PARKDALE AVE
MANISTEE, MI 49660
Manistee County (231) 398-1550
WEST SHORE WOMENS PRACTICE PC
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660
Manistee County (231) 398-0222
RENAISSANCE WOMEN'S HEALTH, PLC
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660
Manistee County (231) 398-0222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Munson Healthcare Manistee's NPI number?

The NPI number for Munson Healthcare Manistee is 1144512849. It was assigned to this organization in the NPPES registry on May 12, 2011. The provider is doing business as West Shore Medical Center Physician Services.

Where is Munson Healthcare Manistee located?

Munson Healthcare Manistee is located at 1293 E Parkdale Ave, Manistee, MI 49660. The listed phone number is (231) 398-1750.

What is Munson Healthcare Manistee's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Munson Healthcare Manistee hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Munson Healthcare Manistee was last updated on September 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.