Organization Active NPI

Karlin E Sevensma DO PC

  • Surgery Physician
  • Wyoming, MI
National Provider Identifier
1619917572
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KARLIN E SEVENSMA DO PC
Practice address
1009 44TH St SW
Suite 101
Wyoming, MI 49509-4480
Phone
(616) 828-4622
Fax
(616) 828-1875
NPI assigned
Jun 8, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Karlin Edith SevensmaNPI 1144264003
Title
Owner/President
Phone
(616) 667-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1009 44TH St SW
Suite 101
Wyoming, MI 49509-4480

Mailing address

PO Box 3140
Grand Rapids, MI 49501-3140
Phone (616) 459-0898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000491 MI Part B Supplier - Clinic/Group Practice 9931154358 Receives reassigned benefits from 1 practitioner
Practice locations: Wyoming, MI

National Provider Directory

National Provider Directory

Locations

4200 Division Ave N
Comstock Park, MI 49321
Phone (616) 252-1600

7683 Cottonwood Dr
Ste A
Jenison, MI 49428
Phone (616) 667-1800

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": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1619917572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-459-0898",
            "fax_number": "616-459-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 44TH ST SW",
            "address_2": "SUITE 101",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094480",
            "telephone_number": "616-828-4622",
            "fax_number": "616-828-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARLIN E SEVENSMA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "SEVENSMA",
        "authorized_official_first_name": "KARLIN",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "616-667-1800"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.