Craig N Bade MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301039774 Issued in MI

Legal business name

CRAIG N BADE MD

Doing business as

HOLLAND SKIN AND VEIN CENTER

Practice address

29 W 8TH St
Ste 220
Holland, MI 49423-3185

Phone

(616) 396-1433

Fax

(616) 396-9643

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Kristi Joy Haverdink

Title

Practice Manager

Phone

(616) 396-1433

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• HOLLAND SKIN AND VEIN CENTER Doing business as

Locations

Practitioners 1

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

• Craig Nelis Bade, MD

  • Gynecology Physician
  • Holland, MI
  • NPI 1659467603
  NPD (past)

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1265826655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W 8TH ST",
            "address_2": "STE 220",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233185",
            "telephone_number": "616-396-1433",
            "fax_number": "616-396-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W 8TH ST",
            "address_2": "STE 220",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233185",
            "telephone_number": "616-396-1433",
            "fax_number": "616-396-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG N BADE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "HAVERDINK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "616-396-1433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008394",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301039774",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704233966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "6301008394",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "4301039774",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109477",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871743898",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "4704233966",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLLAND SKIN AND VEIN CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Ottawa
• County of Ottawa
• County of Ottawa
• Scott Andrew Courey, M.S.W., L.M.S.W.
• Kaitlyn Craddock, PHARMD
• Nathan Cramblet
• Bethany Anne Switter Cramer, MA, LLPC
• Tracy Lynn Crandall, PT
• Laura Jean Crandle, MA, CCC-SLP
• John A Creviere, MA LPC

• Obstetrics & Gynecology Physician in Holland, MI
• Providers in Holland, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.