Tod Wyn, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

4301060023 Issued in MI

Practice address

270 Hoover Blvd
Holland, MI 49423-3719

Phone

(616) 396-2972

Fax

(616) 396-2808

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospice/Palliative CareAlso: Emergency Medicine

Education

Michigan State University College of Human Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospice of Holland, IncGroup PAC ID 9133132970, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of Holland Hospice, Holland, MI, CCN 231546
• Holland Hospital Hospital, Holland, MI, CCN 230072

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospice of Holland, Inc

  • Community Based Hospice Care Agency
  • Holland, MI
  • NPI 1194792259
  Medicare reassignment Care Compare group NPD
• Hospice of Holland, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Holland, MI
  • NPI 1003243908
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holland Community Hospital

  • General Acute Care Hospital
  • Holland, MI
  • NPI 1871672618
  Care Compare affiliation
• Hospice of Holland, Inc

  • Community Based Hospice Care Agency
  • Holland, MI
  • NPI 1194792259
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1073537403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HOOVER BLVD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233719",
            "telephone_number": "616-396-2972",
            "fax_number": "616-396-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HOOVER BLVD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233719",
            "telephone_number": "616-396-2972",
            "fax_number": "616-396-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYN",
        "first_name": "TOD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301060023",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301060023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "TW060023",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073537403",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930017975",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodward Detroit CVS, LLC
• Kathryn Maureen Worden, CNP
• Brianna Wright, LLMSW
• Max Wright
• Kailee Wundermor
• Rebecca Wyngarden, LLMSW
• McKenzie Wyrick
• Madelyn Yakes
• Anthony John Yasick, M.D.
• April Yates

• Emergency Medical Services (Emergency Medicine) Physician in Holland, MI
• Providers in Holland, MI by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.