Pennock Hospital
NPI 1275999286ActiveOrganization· Family Medicine· Lake Odessa, MI
Family Medicine in Lake Odessa, Michigan, registered in NPPES in January 2016, part of Pennock Hospital. The authorized official on file is Robert Davis, Vp Pennock Physician Network.
Overview
| NPI | 1275999286 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pennock Hospital |
| NPI issued | Jan 6, 2016 |
| Last updated in NPPES | May 10, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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