Individual provider Active NPI

Hayden Scott Smith

  • Physician Assistant
  • Holland, MI
National Provider Identifier
1871240630
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012293 Issued in MI
Practice address
370 120TH Ave
Holland, MI 49424-2120
Phone
(616) 396-5855
Fax
(877) 592-0688
NPI assigned
Mar 2, 2022
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012293 MI Primary

Addresses

Primary practice location

370 120TH Ave
Holland, MI 49424-2120

Mailing address

370 120TH Ave
Holland, MI 49424-2120

Other practice location 1

8251 Westpark Way
Zeeland, MI 49464-7903
Phone (616) 396-5855

Other practice location 2

3509 Kelly St
Hudsonville, MI 49426-1407
Phone (616) 396-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220919002893 CO Practitioner - Physician Assistant 0345625885 Reassigns benefits to 1 organization
I20241015003219 MI Practitioner - Physician Assistant 0345625885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Maryland College of Eclectic Medicine and Surgery, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

370 N 120TH Ave
Holland, MI 49424-2196

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601012293MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Muskegon, PC CurrentSince Apr 1, 2026 Accepting new patients
Shoreline Orthopaedic & Sports Medicine Clinic P L C Single Specialty CurrentSince Oct 21, 2024 Accepting new patients
Orthopaedic Associates of Muskegon, PC Single Specialty CurrentSince Apr 1, 2026 Accepting new patients
Colorado Orthopaedics PC Single Specialty PastSince Oct 1, 2022 Accepting new patients

Locations

370 N 120th Ave
Holland, MI 49424
Phone (616) 396-5855

370 N 120th Ave
Ste 20
Holland, MI 49424
Phone (616) 396-5855

3509 Kelly St
Hudsonville, MI 49426
Phone (616) 396-5855

8251 Westpark Way
Zeeland, MI 49464
Phone (616) 355-3930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16409/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1871240630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "fax_number": "877-592-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242120",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8251 Westpark Way",
            "address_purpose": "LOCATION",
            "city": "Zeeland",
            "state": "MI",
            "postal_code": "494647903",
            "country_code": "US",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3509 Kelly St",
            "address_purpose": "LOCATION",
            "city": "Hudsonville",
            "state": "MI",
            "postal_code": "494261407",
            "country_code": "US",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HAYDEN",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.