Holland Allergy Clinic PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

4301056696 Issued in MI

Legal business name

HOLLAND ALLERGY CLINIC PC

Practice address

844 S Washington Suite 500
BLDG 1 Suite 500
Holland, MI 49423-7146

Phone

(616) 392-2516

Fax

(616) 392-1418

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Frank Albertson Munden Jr., M.D.

Title

Owner

Phone

(616) 392-2516

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Holland Allergy Clinic PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Nicole Jerabek-Gibson, PA-C

  • Physician Assistant
  • Grandville, MI
  • NPI 1245674597
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1255360418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 S WASHINGTON SUITE 500",
            "address_2": "BLDG 1 SUITE 500",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237146",
            "telephone_number": "616-392-2516",
            "fax_number": "616-392-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S WASHINGTON SUITE 500",
            "address_2": "BLDG 1 SUITE 500",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237146",
            "telephone_number": "616-392-2516",
            "fax_number": "616-392-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND ALLERGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "MUNDEN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ALBERTSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-392-2516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301056696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "0030255",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN ID",
            "identifier": "0030255",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BCBS",
            "identifier": "1255360418",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holland Allergy Clinic PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Danielle Hoffmann, MA LPC
• Susan Renee Hofland, MA, LLPC
• Diane Marie Hogg
• Candace Hoitenga, LMSW
• Ashley Holford, LMSW
• Holland Audiology, PLLC
• Holland Chiropractic Center PC
• Holland Community Health Center
• Holland Community Health Center
• Holland Community Health Center

• Allergy & Immunology Physician in Holland, MI
• Providers in Holland, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.