Individual provider Active NPI

Seth Charles Palmer, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Holland, MI
National Provider Identifier
1265697783
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
5101017138 Issued in MI
Practice address
3100 N. Wellness Dr
Holland, MI 49424
Phone
(616) 994-2770
Fax
(616) 920-6533
NPI assigned
Jul 24, 2008
Last updated
Aug 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101017138 MI Primary

Addresses

Primary practice location

3100 N. Wellness Dr
Holland, MI 49424

Mailing address

3100 N. Wellness Dr
Holland, MI 49424
Phone (616) 994-2770

Other identifiers 1

IdentifierTypeStateIssuer
1265697783MedicaidMI

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
I20141107001311 MI Practitioner - Otolaryngology 4587815618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ear Nose Throat and Allergy Specialists PCGroup PAC ID 4183868094, 42 clinicians

Practice addresses (Care Compare)

17168 Timber View Dr
Grand Haven, MI 49417-6934
Phone (616) 414-3088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
81.22
Promoting interoperability
100
Improvement activities
40
Cost
71.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101017138MIMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ear, Nose, Throat, and Allergy Specialists, PC CurrentSince Dec 1, 2014 Accepting new patients
Montgomery Surgery Associates LLC Past Accepting new patients
West Michigan Surgical Center, LLC Past Accepting new patients

Locations

6470 Cherry Meadow Dr SE
Caledonia, MI 49316

1445 Sheldon Rd
Ste 303
Grand Haven, MI 49417
Phone (616) 414-3088

17168 Timber View Dr
Grand Haven, MI 49417
Phone (616) 414-3088

17168 Timber View Dr
Ste 9
Grand Haven, MI 49417

1425 Michigan St NE
Ste A
Grand Rapids, MI 49503
Phone (616) 233-0933

3100 N Wellness Dr
Holland, MI 49424
Phone (616) 396-1433

557 Seminole Rd
Norton Shores, MI 49444
Phone (231) 722-7510

205 Broadway St
South Haven, MI 49090
Phone (269) 244-3421

Interoperability endpoints

  • Direct secure messaging: spalmer105963@epic00.corewelldirect.org

Organizations & group practices 3

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 5

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1265697783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N. WELLNESS DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-994-2770",
            "fax_number": "616-920-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N. WELLNESS DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-994-2770",
            "fax_number": "616-920-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101017138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265697783",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.