MACKENZIE SUE MOQUIN MD NPI 1982271060

NPI Information

  • NPI: 1982271060
  • Provider Name: MACKENZIE SUE MOQUIN, MD
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 JEFFERSON AVE SE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 685-5576

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NPI Details

Mackenzie Sue Moquin, MD is a hospitalist in Grand Rapids, MI with 4 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Mackenzie Sue Moquin, MD NPI is 1982271060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2021

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-502
Phone: (616) 685-5576

The NPI 1982271060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2021 and was last updated on 11/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine4351047970MICHIGANNo
2208M00000XHospitalist4301512778MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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