Active NPI
John Ludlow, MD
- Urology Physician
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301072083
- Practice address
- 577 Michigan Ave
Suite 201
Holland, MI 49423-4911 - Phone
- (616) 392-1816
- Fax
- (616) 392-1292
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 75601 | MN | |
| Urology Physician | 208800000X | 4301072083 | MI | Primary |
Addresses
Primary practice location
577 Michigan Ave
Suite 201
Holland, MI 49423-4911
Mailing address
PO Box 77000
Dept # 771412
Detroit, MI 48277-1412
Phone (616) 392-1816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952507444 | Other | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McKenzie County Healthcare Systems Inc
Practice addresses (Care Compare)
577 Michigan Ave
Suite 201
Holland, MI 49423-4911
Phone (616) 392-1816
709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000
Hospital & facility affiliations
- McKenzie County Healthcare Systems Inc
- Holland Hospital
- Sidney Health Center
- Trinity Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75601 | MN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Current | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Urology | Past | Accepting new patients |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
15100 Whittaker Way
Grand Haven, MI 49417
Phone (616) 935-6200
577 Michigan Ave
Ste 201
Holland, MI 49423
Phone (231) 392-1816
1001 E Superior St
Ste 201
Duluth, MN 55802
Phone (218) 249-3057
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010
525 N Main St
Watford City, ND 58854
Phone (701) 842-3771
709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331
1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470
Interoperability endpoints
- john.ludlow@holland.eclinicaldirectplus.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
- Urgent Care Clinic/Center
- Williston, ND
- NPI 1396516506
-
- Critical Access Hospital
- Watford City, ND
- NPI 1518988948
-
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
-
- Family Medicine Physician
- Hudsonville, MI
- NPI 1952130585
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
-
- Family Medicine Physician
- Hermantown, MN
- NPI 1891749594
-
- Clinic/Center
- Watford City, ND
- NPI 1063420495
-
- Family Medicine Physician
- Williston, ND
- NPI 1295568376
Urology
-
- Medicare Defined Swing Bed Hospital Unit
- Watford City, ND
- NPI 1427079854
-
- Rural Health Clinic/Center
- Watford City, ND
- NPI 1457374217
-
- Skilled Nursing Facility
- Watford City, ND
- NPI 1619998358
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
-
- Critical Access Hospital
- Watford City, ND
- NPI 1518988948
-
- Critical Access Hospital
- Sidney, MT
- NPI 1285719161
-
- General Acute Care Hospital
- Minot, ND
- NPI 1427103910
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
-
- General Acute Care Hospital
- Minot, ND
- NPI 1932359544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1710927728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 77000",
"address_2": "DEPT # 771412",
"city": "DETROIT",
"state": "MI",
"postal_code": "482771412",
"telephone_number": "616-392-1816",
"fax_number": "616-392-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 MICHIGAN AVE",
"address_2": "SUITE 201",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234911",
"telephone_number": "616-392-1816",
"fax_number": "616-392-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDLOW",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "75601",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301072083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1952507444",
"state": null
}
],
"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 Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.