Organization Active NPI

Holland Medical Care & Rehabilitation PC

  • General Practice Physician
  • Holland, MI
National Provider Identifier
1609079508
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HOLLAND MEDICAL CARE & REHABILITATION PC
Practice address
335 North 120TH Ave
Holland, MI 49423-2118
Phone
(616) 392-5222
Fax
(616) 392-3653
NPI assigned
Jun 7, 2007
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Joel Wetzel, P.A.NPI 1396710992
Title
Administrator
Phone
(616) 392-5222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

335 North 120TH Ave
Holland, MI 49423-2118

Mailing address

335 N 120TH Ave
Holland, MI 49424-2118
Phone (616) 392-5222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1609079508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242118",
            "telephone_number": "616-392-5222",
            "fax_number": "616-392-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NORTH 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232118",
            "telephone_number": "616-392-5222",
            "fax_number": "616-392-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND MEDICAL CARE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-392-5222",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 28, 2008; 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.