NPIMap

Organization Active NPI

Shoreline Orthopaedic & Sports Medicine Clinic P L C

  • Durable Medical Equipment & Medical Supplies
  • Zeeland, MI
National Provider Identifier
1881370799
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C
Practice address
8251 Westpark Way
Zeeland, MI 49464
Phone
(616) 396-5855
Fax
(877) 592-0688
NPI assigned
Jun 26, 2023
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Tricia Schildhouse
Title
Practice Administrator
Phone
(616) 396-5855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8251 Westpark Way
Zeeland, MI 49464

Mailing address

370 120TH Ave Ste 20
Holland, MI 49424-2196
Phone (616) 396-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040623000868 MI Part B Supplier - Clinic/Group Practice 6002891926 Receives reassigned benefits from 35 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hudsonville, MI; Zeeland, MI; Holland, MI
O20250408003014 MI DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6002891926 Practice locations: Zeeland, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Shoreline Orthopaedic2 organizations share this tax ID, including this one
Part of
Shoreline Orthopaedic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1881370799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 120TH AVE STE 20",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242196",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 WESTPARK WAY",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "49464",
            "telephone_number": "616-396-5855",
            "fax_number": "877-592-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C",
        "enumeration_date": "2023-06-26",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "SCHILDHOUSE",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "616-396-5855"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.