Shoreline Orthopaedic & Sports Medicine Clinic P L C

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C

Practice address

3509 Kelly St
Hudsonville, MI 49426-1407

Phone

(616) 396-5855

Fax

(877) 592-0688

NPI assigned

Feb 10, 2023

Organization subpart

Yes

Parent organization

SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L CAs reported in NPPES

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

Authorized official

Name

Tricia Schildhouse, MBA

Title

Ceo

Phone

(616) 396-5855

Specialties & licenses 2

Addresses

Tax ID family

Shoreline Orthopaedic Sports Medicine Clinicplc2 organizations share this tax ID, including this one

Part of

Shoreline Orthopaedic Sports Medicine Clinicplc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shoreline Orthopaedic & Sports Medicine Clinic P L C

  • Durable Medical Equipment & Medical Supplies
  • Zeeland, MI
  • NPI 1881370799
  NPD tax ID

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1619674512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 KELLY ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261407",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 N 120th Ave",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494242120",
            "country_code": "US",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C",
        "enumeration_date": "2023-02-10",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "SCHILDHOUSE",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-396-5855",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Andrea Setaputri, DMD
• Zane Robert Setaputri, DDS
• Ryan Sheeran
• Sheldon Meadows Assisted Living Center
• Cameron Daniel Shoemaker, DDS
• Megan Sievers
• Diana Lynn Simpson, LPC
• Thomas Dale Snoeyink, OD
• Abigail Diandra Sok
• Areum Son

• Durable Medical Equipment & Medical Supplies in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.