Individual provider Active NPI

William R Houskamp, MD

  • Surgery Physician
  • Holland, MI
National Provider Identifier
1265498398
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301066333 Issued in MI
Practice address
577 Michigan Ave
Suite 202
Holland, MI 49423-4911
Phone
(616) 394-0673
Fax
(616) 394-9825
NPI assigned
Apr 26, 2006
Last updated
Jul 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301066333 MI Primary

Addresses

Primary practice location

577 Michigan Ave
Suite 202
Holland, MI 49423-4911

Mailing address

577 Michigan Ave
Suite 202
Holland, MI 49423-4911
Phone (616) 394-0673

Other identifiers 2

IdentifierTypeStateIssuer
382809956OtherCOMMERCIAL INSURANCE
4783476MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101207001021 MI Practitioner - General Surgery 2264503978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

577 Michigan Ave
Suite 202
Holland, MI 49423-4911
Phone (616) 394-0673

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital CurrentSince Mar 1, 2016 Accepting new patients
Holland Community Hospital Current Accepting new patients
Holland Community Hospital CurrentSince Mar 1, 2016 Accepting new patients
Holland Community Hospital PastSince Oct 1, 2021 Accepting new patients
Holland Community Hospital Past Accepting new patients

Locations

415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208

3235 N Wellness Dr
Holland, MI 49424
Phone (616) 399-9522

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

577 Michigan Ave
Ste 202
Holland, MI 49423
Phone (616) 394-0673

Interoperability endpoints

  • Direct secure messaging: william.houskamp@holland.eclinicaldirectplus.com

Organizations & group practices 5

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

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1265498398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 MICHIGAN AVE",
            "address_2": "SUITE 202",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234911",
            "telephone_number": "616-394-0673",
            "fax_number": "616-394-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 MICHIGAN AVE",
            "address_2": "SUITE 202",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234911",
            "telephone_number": "616-394-0673",
            "fax_number": "616-394-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSKAMP",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301066333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "382809956",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4783476",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.