Provider Demographics
NPI:1629107628
Name:NORTHPOINTE OB-GYN PC
Entity Type:Organization
Organization Name:NORTHPOINTE OB-GYN PC
Other - Org Name:NORTHPOINTE OBSTETRICS & GYNECOLOGY, PC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:NIVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-984-3100
Mailing Address - Street 1:1206 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3555
Mailing Address - Country:US
Mailing Address - Phone:810-984-3100
Mailing Address - Fax:810-984-1656
Practice Address - Street 1:1206 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3555
Practice Address - Country:US
Practice Address - Phone:810-984-3100
Practice Address - Fax:810-984-1656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty