Active NPI
John Andrew Leenhouts, MD
- Ophthalmology Physician
- Grand Haven, MI
National Provider Identifier
1093778334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 34432
- Practice address
- 1445 Sheldon Rd Ste 100
Grand Haven, MI 49417-2479 - Phone
- (616) 842-1680
- Fax
- (616) 842-8269
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 34432 | MI | Primary |
Addresses
Primary practice location
1445 Sheldon Rd Ste 100
Grand Haven, MI 49417-2479
Mailing address
1266 E Sherman Blvd
Muskegon, MI 49444-1847
Phone (231) 739-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34432 | MI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1093778334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441847",
"telephone_number": "231-739-9009",
"fax_number": "231-733-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 SHELDON RD STE 100",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172479",
"telephone_number": "616-842-1680",
"fax_number": "616-842-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEENHOUTS",
"first_name": "JOHN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "34432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.