Pennock Hospital
NPI 1205281045 · Family Medicine Physician · Wayland, MI
Pennock Hospital is a Family Medicine Physician organization in Wayland, MI (NPI 1205281045).
Provider details
- NPI number
- 1205281045
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pennock Hospital
- Organization subpart
- Yes
- Authorized official
- Deidre Weller, Controller(269) 945-1212
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-04-29
- Last updated
- 2016-04-29
Frequently asked questions
- What is Pennock Hospital's NPI number?
- Pennock Hospital's National Provider Identifier (NPI) is 1205281045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennock Hospital?
- Pennock Hospital is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pennock Hospital located?
- Pennock Hospital's practice location on file with NPPES is 12851 W M 179 Hwy, Wayland, MI 49348-9318.
- What is Pennock Hospital's phone number?
- The practice phone number listed in the NPPES registry for Pennock Hospital is (877) 377-7322.
- Who is the authorized official for Pennock Hospital?
- The authorized official listed on Pennock Hospital's NPPES record is Deidre Weller, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennock Hospital's NPI active?
- Yes — Pennock Hospital's NPI (1205281045) is active in the NPPES registry as of the last update on 2016-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.