Allendale Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALLENDALE FAMILY PRACTICE

Practice address

11160 WJ Presley Pkwy Ste 101
Allendale, MI 49401-8075

Phone

(616) 895-2000

Fax

(616) 895-2009

NPI assigned

Oct 19, 2005

Last updated

Jun 13, 2024By 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

Brenda Smock

Title

Billing Manager

Phone

(616) 895-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 10

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.

• Matthew Philip Boyd, M.D.

  • Family Medicine Physician
  • Allendale, MI
  • NPI 1558580977
  Medicare reassignment Care Compare group NPD
• Samantha Mette, FNP-C

  • Family Nurse Practitioner
  • Allendale, MI
  • NPI 1205477924
  Medicare reassignment Care Compare group NPD
• Eric Thomas Tornga, FNP-C

  • Family Nurse Practitioner
  • Allendale, MI
  • NPI 1952908139
  Medicare reassignment Care Compare group NPD
• Jordan Gerard Maccoux, PA-C

  • Physician Assistant
  • Holland, MI
  • NPI 1780139709
  Medicare reassignment Care Compare group
• Taylor Rae Vos, PA-C

  • Physician Assistant
  • Allendale, MI
  • NPI 1629700976
  Medicare reassignment Care Compare group
• Carol Osborn Finlayson, FNP

  • Family Nurse Practitioner
  • Allendale, MI
  • NPI 1740264001
  Medicare reassignment NPD
• Steven J Verkaik, MD

  • Family Medicine Physician
  • Hudsonville, MI
  • NPI 1003804642
  Medicare reassignment NPD
• Michelle Ann Rohde, FNP-C

  • Family Nurse Practitioner
  • Parker, CO
  • NPI 1154957330

  MI

  Medicare reassignment NPD
• Carl E Piersma, P.A.-C.

  • Physician Assistant
  • Allendale, MI
  • NPI 1093861593
  Medicare reassignment
• Clair Anne Travis, PAC

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1609137983
  Medicare reassignment

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1386633675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WJ PRESLEY PKWY STE 101",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018075",
            "telephone_number": "616-895-2000",
            "fax_number": "616-895-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WJ PRESLEY PKWY STE 101",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018075",
            "telephone_number": "616-895-2000",
            "fax_number": "616-895-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENDALE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "SMOCK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "616-895-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Health Convenient Care PLLC
• Julia Agrusa
• Elizabeth L Albright, DO
• Laylah Ali
• Allendale Eye Care, LLC
• Allendale Family Vision LLC
• Jessica Altman, LMT
• Megan Alwardt, PT, DPT
• American Hearing Centers, LLC (Sonus Sf0005)
• Meghann Noelle Antes

• Family Medicine Physician in Allendale, MI
• Providers in Allendale, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.