Active NPI
Barbara S. Drozdowski MD, PC
- Specialist
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301078815
- Legal business name
- BARBARA S. DROZDOWSKI MD, PC
- Practice address
- 441 120TH Ave
Holland, MI 49424-2119 - Phone
- (616) 738-3997
- Fax
- (616) 738-3996
- NPI assigned
- Dec 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara S Drozdowski
- Title
- President
- Phone
- (616) 738-3997
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301078815 | MI | Primary |
Addresses
Primary practice location
441 120TH Ave
Holland, MI 49424-2119
Mailing address
441 120TH Ave
Holland, MI 49424-2119
Phone (616) 738-3997
Other names 1
- Holland Dermatology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080215000536 | MI | Part B Supplier - Clinic/Group Practice | 2668555475 |
Receives reassigned benefits from 2 practitioners Practice locations: Holland, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1056150 | Holland Dermatology | Compliance | Nov 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
12930 James St
Ste 210
Holland, MI 49424
Phone (616) 738-3997
441 120th Ave
Holland, MI 49424
Phone (616) 738-3997
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1831372341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 120TH AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494242119",
"telephone_number": "616-738-3997",
"fax_number": "616-738-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 120TH AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494242119",
"telephone_number": "616-738-3997",
"fax_number": "616-738-3996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBARA S. DROZDOWSKI MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "DROZDOWSKI",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-738-3997"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "4301078815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Holland Dermatology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Holland Dermatology",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 17, 2023; 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.