Individual provider Active NPI

John Louis Ehlert, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Holland, MI
National Provider Identifier
1790774214
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
JE040719 Issued in MI
Practice address
3290 N Wellness Dr
Suite 250
Holland, MI 49424-7259
Phone
(616) 399-2886
Fax
(616) 399-2876
NPI assigned
Oct 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X JE040719 MI Primary

Addresses

Primary practice location

3290 N Wellness Dr
Suite 250
Holland, MI 49424-7259

Mailing address

11853 Garnsey Ave
Grand Haven, MI 49417-8829
Phone (616) 399-2886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
JE040719MIMDOrthopaedic Surgery of the Spine Physician

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790774214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11853 GARNSEY AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178829",
            "telephone_number": "616-399-2886",
            "fax_number": "616-399-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 N WELLNESS DR",
            "address_2": "SUITE 250",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247259",
            "telephone_number": "616-399-2886",
            "fax_number": "616-399-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERT",
        "first_name": "JOHN",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "JE040719",
            "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 Jul 13, 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.