Lakeside ENT, P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

LAKESIDE ENT, P.C.

Practice address

577 Michigan Ave
Suite 101
Holland, MI 49423-4911

Phone

(616) 393-2190

Fax

(616) 393-0147

NPI assigned

Feb 7, 2007

Last updated

Dec 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter J Vandermeer, M.D.NPI 1174500235

Title

Treasurer

Phone

(616) 393-2190

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter J Vandermeer, M.D.

  • Otolaryngology Physician
  • Holland, MI
  • NPI 1174500235
  Authorized official Same address or phone
• Joseph B Vandermeer, MD

  • Otolaryngology Physician
  • Holland, MI
  • NPI 1851329007
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1356481493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 MICHIGAN AVE",
            "address_2": "SUITE 101",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234911",
            "telephone_number": "616-393-2190",
            "fax_number": "616-393-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 MICHIGAN AVE",
            "address_2": "SUITE 101",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234911",
            "telephone_number": "616-393-2190",
            "fax_number": "616-393-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE ENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "VANDERMEER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "616-393-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Plastic and Reconstructive Surgery Associates, P.C. (Plastic Surgery Arts of West Michigan)
• Lakeshore Psychological & Counseling Services, PC
• Lakeshore Senior Care LLC (Lakeshore Senior Care)
• Lakeshore Sleep Solutions, PLLC
• Lakeshore Surgical Associates PC
• Lakeside Osteopathic Manipulative Medicine PLLC
• Lakeside Therapy LLC
• Lakewood Counseling
• Lakewood Family Medicine PLC
• Amy R. Lalick, DDS

• Otolaryngology Physician in Holland, MI
• Providers in Holland, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.