Individual provider Active NPI

Corie Michelle Eklov, MD

  • Internal Medicine Physician
  • Holland, MI
National Provider Identifier
1295936524
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301090024 Issued in MI
Practice address
3235 N Wellness Dr Ste 120B
Holland, MI 49424-8035
Phone
(616) 399-9522
NPI assigned
May 31, 2007
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301090024 MI Primary
Hospitalist Physician 208M00000X 4301090024 MI

Addresses

Primary practice location

3235 N Wellness Dr Ste 120B
Holland, MI 49424-8035

Mailing address

3235 N Wellness Dr Ste 120B
Holland, MI 49424-8035
Phone (616) 399-9522

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
I20110926000605 MI Practitioner - Internal Medicine 8325219298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

3235 N Wellness Dr
120B Internal Medicine North
Holland, MI 49424-8035
Phone (616) 399-9522

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090024MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital Internal Medicine CurrentSince Dec 9, 2016 Accepting new patients
Holland Community Hospital Current Accepting new patients
Holland Community Hospital CurrentSince Dec 9, 2016 Accepting new patients
Holland Community Hospital PastSince Mar 31, 2024 Accepting new patients
Holland Community Hospital Internal Medicine Past Accepting new patients
Holland Community Hospital Past Accepting new patients

Locations

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

3235 N Wellness Dr
Bldg A
Holland, MI 49424
Phone (616) 395-2833

3235 N Wellness Dr
Ste 120A
Holland, MI 49424
Phone (616) 395-2833

3235 N Wellness Dr
Ste 120B
Holland, MI 49424
Phone (616) 399-1369

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

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

Organizations & group practices 6

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 4

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1295936524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 N WELLNESS DR STE 120B",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248035",
            "telephone_number": "616-399-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N WELLNESS DR STE 120B",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248035",
            "telephone_number": "616-399-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLOV",
        "first_name": "CORIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301090024",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301090024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.