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

NPI Status: Active since May 12, 2011

Contact Information

1293 E PARKDALE AVE
MANISTEE, MI
ZIP 49660
Phone: (231) 398-1750
Fax: (231) 398-1751

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  • Organization
  • Surgery
  • CLIA Number: 23D2071864
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 01-20-2028

About WEST SHORE MEDICAL CENTER PHYSICIAN SERVICES

This page provides the complete NPI Profile along with additional information for West Shore Medical Center Physician Services, a provider established in Manistee, Michigan operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1144512849 assigned on May 2011. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. West Shore Medical Center Physician Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as West Shore Medical Center Physician Services. The authorized official of this NPI record is Ellen O Smith (President Ambulatory Clinics)

NPI
1144512849
Provider Legal Name
MUNSON HEALTHCARE MANISTEE
Other Organization Name
WEST SHORE MEDICAL CENTER PHYSICIAN SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1293 E PARKDALE AVE MANISTEE, MI 49660
Location Phone
(231) 398-1750
Location Fax
(231) 398-1751
Mailing Address
315 OAKGROVE ST MANISTEE, MI 49660
Mailing Phone
(231) 398-9266
Mailing Fax
(231) 398-1751
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2011
Last Update Date
09-22-2022
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A surgeon like West Shore Medical Center Physician Services treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License State
MI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

(MI)
2207VG0400XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Gynecology

(MI)
3207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

(MI)
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

(MI)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELLEN O SMITH

Authorized Official Title
PRESIDENT AMBULATORY CLINICS
Authorized Official Phone
(231) 935-5000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2071864
Facility Type
Rural Health Clinic
Certificate Effective Date
January 21, 2026
Certificate Expiration Date
January 20, 2028
Laboratory Director
BRIAN J. MCCOMB
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to West Shore Medical Center Physician Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WEST SHORE MEDICAL CENTER PHYSICIAN SERVICES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144512849, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 1 + 0 + 1 + 4 + 8 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1144512849.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
1293 E PARKDALE AVE, SUITE 1200
MANISTEE, MI 49660
Pediatrics
1293 E PARKDALE AVE, SUITE 1200
MANISTEE, MI 49660
Surgery
1293 E PARKDALE AVE, SUITE 2300
MANISTEE, MI 49660
Legal Medicine
1293 E PARKDALE AVE, SUITE 2500
MANISTEE, MI 49660
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660
Orthopaedic Surgery
1293 E PARKDALE AVE, STE 2300B
MANISTEE, MI 49660
Internal Medicine
1293 E PARKDALE AVE, SUITE 1200D
MANISTEE, MI 49660
Physician Assistant
1293 E PARKDALE AVE
MANISTEE, MI 49660
Orthopaedic Surgery
1293 E PARKDALE AVE, SUITE 2200
MANISTEE, MI 49660
Orthopaedic Surgery
1293 E PARKDALE AVE, STE 2300B
MANISTEE, MI 49660
Orthopaedic Surgery
1293 E PARKDALE AVE, SUITE 2200
MANISTEE, MI 49660
Orthopaedic Surgery
1293 E PARKDALE AVE, SUITE 2200 B
MANISTEE, MI 49660
Surgery
1293 E PARKDALE AVE, SUITE 2300 A
MANISTEE, MI 49660
Orthopaedic Surgery
1293 E PARKDALE AVE, SUITE 2300 B
MANISTEE, MI 49660
Pediatrics
1293 E PARKDALE AVE, SUITE 1200
MANISTEE, MI 49660
Nurse Practitioner (Family)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Nurse Practitioner (Family)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Nurse Practitioner (Family)
1293 E PARKDALE AVE
MANISTEE, MI 49660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144512849, enumerated as an "organization" on May 12, 2011.

The provider is located at 1293 E PARKDALE AVE MANISTEE, MI 49660 and the phone number is (231) 398-1750.

Surgery with taxonomy code 208600000X.