Individual provider Active NPI

Christopher Lee Wedeven, M.D.

  • Anesthesiology Physician
  • Holland, MI
National Provider Identifier
1073698536
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301074733 Issued in MI
Practice address
2450 Van Ommen Dr
Holland, MI 49424-8085
Phone
(616) 399-4946
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301074733 MI
Anesthesiology Physician 207L00000X 4301074733 MI Primary

Addresses

Primary practice location

2450 Van Ommen Dr
Holland, MI 49424-8085

Mailing address

2450 Van Ommen Dr
Holland, MI 49424-8085
Phone (616) 399-4946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040212000767 MI Practitioner - AnesthesiologyPractitioner - Family Practice 2163316704 Reassigns benefits to 1 organization
I20200722003974 IN Practitioner - Anesthesiology 2163316704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Family Practice
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macatawa Anesthesia PCGroup PAC ID 4183682883, 24 clinicians

Practice addresses (Care Compare)

12087 Felch St
Holland, MI 49424-9676
Phone (616) 796-2199

602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 392-5141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Macatawa Anesthesia PC Anesthesiology CurrentSince Sep 1, 2008 Accepting new patients
Associated Anesthesiologists of Fort Wayne PC Anesthesiology CurrentSince Aug 15, 2020 Accepting new patients
U S Anesthesia Partners of Kentucky PSC Anesthesiology PastSince Sep 1, 2023 Accepting new patients
Spectrum Health Hospitals Past Accepting new patients

Locations

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

12087 Felch St
Holland, MI 49424
Phone (616) 499-1100

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1073698536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 VAN OMMEN DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248085",
            "telephone_number": "616-399-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 VAN OMMEN DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248085",
            "telephone_number": "616-399-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDEVEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074733",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301074733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.