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SHORELINE FAMILY MEDICINE PC
NPI 1417094459
Family Medicine in Muskegon, MI

Active since January 31, 2007
5933 GRAND HAVEN RD, MUSKEGON, MI 49441(231) 799-3300(231) 799-3322 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shoreline Family Medicine Pc NPPES

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

SHORELINE FAMILY MEDICINE PC (NPI 1417094459) is a healthcare organization registered as a family medicine in Muskegon, Michigan and active in the NPI registry since January 2007. The organization lists Matthew N. Powell, Physician, as its authorized official.

NPPES Registry Identity

NPI1417094459
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHORELINE FAMILY MEDICINE PC
Location Address5933 GRAND HAVEN RDMuskegon, MI 49441-6011
Mailing Address5933 Grand Haven RdMuskegon, MI 49441-6011 · (231) 799-3300 · Fax (231) 799-3322
Phone(231) 799-3300
Fax(231) 799-3322
Organization SubpartNo
Authorized OfficialMatthew N. PowellPhysician · (231) 780-3300
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMay 5, 2008
✔ NPI 1417094459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101013736
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.

5933 GRAND HAVEN RD, Muskegon, MI 49441
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Other Identifiers 3

Medicare UPING97079MI
Other5610080MI · Blue Cross
Medicaid4309931MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 23D0988105

Shoreline Family Medicine · Muskegon, MI
Expired · Nov 11, 2025
CLIA Number23D0988105
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2023
Certificate Expiration DateNovember 11, 2025
Laboratory DirectorMatthew N. Powell, Do
Laboratory Phone(231) 799-3300
Laboratory LocationShoreline Family Medicine5933 Grand Haven Road, Muskegon, MI 49441
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

MATTHEW NEIL POWELL D.O.
Family Medicine
5933 GRAND HAVEN RD
MUSKEGON, MI 49441
Muskegon County (231) 799-3300
MR. DAVID HERBERT WILKINS PA-C
Physician Assistant (Medical)
5933 GRAND HAVEN RD
MUSKEGON, MI 49441
Muskegon County (231) 799-3300
MICHELLE J BRAY FNP-C
Nurse Practitioner (Primary Care)
5933 GRAND HAVEN RD
NORTON SHORES, MI 49441
Muskegon County (231) 799-3300

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 Shoreline Family Medicine PC's NPI number?

The NPI number for Shoreline Family Medicine PC is 1417094459. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Shoreline Family Medicine PC located?

Shoreline Family Medicine PC is located at 5933 Grand Haven Rd, Muskegon, MI 49441. The listed phone number is (231) 799-3300.

What is Shoreline Family Medicine PC's specialty?

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

What insurance does Shoreline Family Medicine PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shoreline Family Medicine PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shoreline Family Medicine PC was last updated on May 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.