Active NPI
Laurie A B Birkholz, MD
- Family Medicine Physician
- Holland, MI
National Provider Identifier
1346299492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 47700
- Practice address
- 11971 James St
Holland, MI 49424-9610 - Phone
- (616) 345-5263
- NPI assigned
- May 8, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301099907 | MI | |
| Family Medicine Physician | 207Q00000X | 47700 | WI | Primary |
Addresses
Primary practice location
11971 James St
Holland, MI 49424-9610
Mailing address
11971 James St
Holland, MI 49424-9610
Phone (616) 345-5263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34641700 | Medicaid | WI |
Other names 1
- Laurie Ann Bailey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2020 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099907 | MI | MD | Family Medicine Physician |
| 47700 | WI | MD | Family Medicine Physician |
Interoperability endpoints
- laurie.birkholz.1@24769.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1346299492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11971 JAMES ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494249610",
"telephone_number": "616-345-5263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11971 JAMES ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494249610",
"telephone_number": "616-345-5263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKHOLZ",
"first_name": "LAURIE",
"middle_name": "A B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301099907",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "47700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34641700",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "BAILEY",
"middle_name": "ANN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}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 May 11, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.