Active NPI
Corie Michelle Eklov, MD
- Internal Medicine Physician
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301090024
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090024 | MI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Internal Medicine | Current | Accepting new patients |
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
dba d/b/a Holland Hospital
- Hospitalist Physician
- Holland, MI
- NPI 1497090617
Internal Medicine
-
- Family Medicine Physician
- Hudsonville, MI
- NPI 1952130585
-
- Endocrinology, Diabetes & Metabolism Physician
- Holland, MI
- NPI 1649993783
-
- Internal Medicine Physician
- Holland, MI
- NPI 1720232697
-
dba Holland Hospital Ear, Nose, Throat & Allergy
- Otolaryngology Physician
- Holland, MI
- NPI 1982910857
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Holland, MI
- NPI 1821098476
-
- Home Health Agency
- Holland, MI
- NPI 1477629780
-
dba Holland Hospital
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
-
dba Hospice of Holland
- Community Based Hospice Care Agency
- Holland, MI
- NPI 1194792259
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.