Organization Active NPI

Zeeland Family Medicine, PC

Doing business as Zeealnd Family Medicine, PC

  • Family Medicine Physician
  • Zeeland, MI
National Provider Identifier
1639390875
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZEELAND FAMILY MEDICINE, PC
Doing business as
Zeealnd Family Medicine, PC
Practice address
400 S State St Ste 200
Zeeland, MI 49464-2067
Phone
(616) 741-9720
Fax
(616) 741-9725
NPI assigned
May 2, 2007
Last updated
Dec 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Tracie L Steele
Title
Billing Manager
Phone
(616) 741-9720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

400 S State St Ste 200
Zeeland, MI 49464-2067

Mailing address

400 S State St Ste 200
Zeeland, MI 49464-2067
Phone (616) 741-9720

Other names 2

  • Zeealnd Family Medicine, PC Doing business as
  • Mark N Folkening, MD, PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425000212 MI Part B Supplier - Clinic/Group Practice 2062450570 Receives reassigned benefits from 2 practitioners
Practice locations: Zeeland, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0380019Zeeland Family Medicine, P C400 S State Street, Ste 200, Zeeland, MI 49464Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory

Locations

3299 N Wellness Dr
Ste 150
Holland, MI 49424
Phone (616) 738-3884

400 S State St
Ste 200
Zeeland, MI 49464
Phone (616) 741-9720

Practitioners & affiliated clinicians

Practitioners 3

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1639390875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S STATE ST STE 200",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642067",
            "telephone_number": "616-741-9720",
            "fax_number": "616-741-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S STATE ST STE 200",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642067",
            "telephone_number": "616-741-9720",
            "fax_number": "616-741-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEELAND FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "616-741-9720"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zeealnd Family Medicine, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mark N Folkening, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mark N Folkening, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.