LAKE MICHIGAN ENT PLLC
NPI 1881709988
Otolaryngology in Muskegon, MI

Active since August 20, 2006
1675 LEAHY ST, SUITE 201A, MUSKEGON, MI 49442(231) 722-4904(231) 722-4804 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Otolaryngology

About LAKE MICHIGAN ENT PLLC

This page provides the complete NPI Profile along with additional information for Lake Michigan Ent Pllc, a provider established in Muskegon, Michigan operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1881709988 assigned on August 2006. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Linda Radtke (Biller)

NPI
1881709988 Verify this NPI
Provider Name
LAKE MICHIGAN ENT PLLC
Entity Type
Organization
Location Address
1675 LEAHY ST SUITE 201A MUSKEGON, MI 49442
Location Phone
(231) 722-4904
Location Fax
(231) 722-4804
Mailing Address
1675 LEAHY ST SUITE 201A MUSKEGON, MI 49442
Mailing Phone
(231) 722-4904
Mailing Fax
(231) 722-4804
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2006
Last Update Date
01-09-2012
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LINDA RADTKE

Authorized Official Title
BILLER
Authorized Official Phone
(231) 722-4904

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
N81710002MEDICARE ID-TYPE UNSPECIFIED (04)MI 

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Other Providers at the Same Location


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

Family Medicine
1675 LEAHY ST, STE 301
MUSKEGON, MI 49442
Family Medicine
1675 LEAHY ST, STE 301
MUSKEGON, MI 49442
Family Medicine
1675 LEAHY ST, STE 301
MUSKEGON, MI 49442
Urology
1675 LEAHY ST, SUITE 107
MUSKEGON, MI 49442
Internal Medicine
1675 LEAHY ST, SUITE 215A
MUSKEGON, MI 49442
Internal Medicine (Gastroenterology)
1675 LEAHY ST, STE 324B
MUSKEGON, MI 49442
Orthopaedic Surgery
1675 LEAHY ST, SUITE 120
MUSKEGON, MI 49442
Specialist/Technologist (Athletic Trainer)
1675 LEAHY ST, SUITE 200
MUSKEGON, MI 49442
Specialist/Technologist (Athletic Trainer)
1675 LEAHY ST, SUITE 200
MUSKEGON, MI 49442
Specialist/Technologist (Athletic Trainer)
1675 LEAHY ST, SUITE 200
MUSKEGON, MI 49442
Audiologist-Hearing Aid Fitter
1675 LEAHY ST, STE 109
MUSKEGON, MI 49442
Internal Medicine
1675 LEAHY ST, SUITE 215A
MUSKEGON, MI 49442
Physician Assistant
1675 LEAHY ST, SUITE 103
MUSKEGON, MI 49442
Internal Medicine (Gastroenterology)
1675 LEAHY ST, SUITE 324B
MUSKEGON, MI 49442
Surgery
1675 LEAHY ST, STE 207
MUSKEGON, MI 49442
Obstetrics & Gynecology (Obstetrics)
1675 LEAHY ST, SUITE 312B
MUSKEGON, MI 49442
Family Medicine
1675 LEAHY ST, SUITE 301
MUSKEGON, MI 49442
Surgery
1675 LEAHY ST, STE 207
MUSKEGON, MI 49442
Family Medicine
1675 LEAHY ST, SUITE 315A
MUSKEGON, MI 49442
Orthopaedic Surgery
1675 LEAHY ST, SUITE 120
MUSKEGON, MI 49442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881709988, enumerated as an "organization" on August 20, 2006.

The provider is located at 1675 LEAHY ST SUITE 201A MUSKEGON, MI 49442 and the phone number is (231) 722-4904.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.