Organization Active NPI

L Michael Sterenberg DO PLLC

  • Family Medicine Physician
  • Grand Haven, MI
National Provider Identifier
1306036090
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009998 Issued in MI
Legal business name
L MICHAEL STERENBERG DO PLLC
Practice address
600 Park Ave
Grand Haven, MI 49417-2173
Phone
(616) 847-8700
Fax
(616) 847-1049
NPI assigned
Jul 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Lee Michael Sterenberg, D ONPI 1003811092
Title
Physician/Owner
Phone
(616) 847-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101009998 MI Primary

Addresses

Primary practice location

600 Park Ave
Grand Haven, MI 49417-2173

Mailing address

600 Park Ave Ste 4
Grand Haven, MI 49417-2173
Phone (616) 847-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071119000114 MI Part B Supplier - Clinic/Group Practice 1355439704 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Haven, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0676311L Michael Sterenberg DO PLLC600 Park Avenue, Grand Haven, MI 49417Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

600 Park Ave
Ste 4
Grand Haven, MI 49417
Phone (616) 847-8700

600 Park Ave
Grand Haven, MI 49417
Phone (616) 846-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24382/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1306036090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK AVE STE 4",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172173",
            "telephone_number": "616-847-8700",
            "fax_number": "616-847-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172173",
            "telephone_number": "616-847-8700",
            "fax_number": "616-847-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L MICHAEL STERENBERG DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-28",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "STERENBERG",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "616-847-8700",
        "authorized_official_credential": "D O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.