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NPISignal

Individual Healthcare Provider

Stanley Haegert, MD

NPI Record: ActiveFamily Medicine
NPI1154405009
Grand Haven, Michigan

Provider's NPPES record last updated: September 16, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1154405009
Primary Specialty
Family Medicine
Practice Location
Grand Haven, Michigan
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 5:36 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X

Provider-Reported License Information

Family Medicine (Michigan)
4301407097
Family Medicine (Minnesota)
64514
Family Medicine (Wyoming)
11742C
Family Medicine (Washington)
MD60893797
Family Medicine (California)
G158510
Family Medicine (Illinois)
036147324
Family Medicine (Nevada)
18348
Family Medicine (Iowa)
MD-46030
Family Medicine (South Dakota)
11380
Family Medicine (Colorado)
CDRH.0061038
Family Medicine (Arizona)
57243
Family Medicine (Idaho)
MC-0098
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1310 Wisconsin St

Suite 103

Grand Haven, Michigan 49417-2472

Phone: (616) 846-2640

Record Information

Enumeration Date
October 25, 2006
Provider's NPPES Record Last Updated
September 16, 2019
NPISignal NPPES Dataset
August 2026

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