PENNOCK HOSPITAL - NPI 1205281045 - Family Medicine in Wayland, MI

Q: What is Pennock Hospital's NPI number?

The NPI number for Pennock Hospital is 1205281045. It was assigned to this organization in the NPPES registry on April 29, 2016.

Q: What is Pennock Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Pennock Hospital was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Pennock Hospital NPPES

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

PENNOCK HOSPITAL (NPI 1205281045) is a healthcare organization registered as a family medicine in Wayland, Michigan and active in the NPI registry since April 2016. The organization lists Deidre Weller, Controller, as its authorized official.

NPPES Registry Identity

NPI1205281045

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePENNOCK HOSPITAL

Location Address12851 W M 179 HWYWayland, MI 49348-9318

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(877) 377-7322

Organization SubpartYes

Authorized OfficialDeidre WellerController · (269) 945-1212

Enumeration DateApril 29, 2016

✔ NPI 1205281045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse PractitionerTaxonomy 363L00000X

12851 W M 179 HWY, Wayland, MI 49348

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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

Other Providers at the Same Location NPPES 14

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

TABITHA JANE EWERT PA-C

Physician Assistant