Active NPI
Holland Community Hospital
- Urology Physician
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- HOLLAND COMMUNITY HOSPITAL
- Practice address
- 577 Michigan Ave Ste 201
Holland, MI 49423-4911 - Phone
- (616) 392-1816
- Fax
- (616) 392-1292
- NPI assigned
- Jun 22, 2007
- Last updated
- Jun 30, 2026
- 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
- Alexander Roehling
- Title
- Cfo
- Phone
- (616) 394-3456
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
577 Michigan Ave Ste 201
Holland, MI 49423-4911
Mailing address
577 Michigan Ave Ste 201
Holland, MI 49423-4911
Phone (616) 392-1816
Other practice location 1
8300 Westpark Way
Zeeland, MI 49464-7901
Phone (616) 392-1816
Other practice location 2
1600 S Beacon Blvd Ste 240
Grand Haven, MI 49417-2654
Phone (616) 392-1816
Other names 1
- Western Michigan Urological Assoc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000484 | MI | Part B Supplier - Clinic/Group Practice | 0446157291 |
Receives reassigned benefits from 167 practitioners 28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Holland, MI; Zeeland, MI; Saugatuck, MI; Hudsonville, MI; Grand Haven, MI |
Other NPIs on the same Medicare enrollment 28
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Foot & Ankle Surgery Podiatrist
- Holland, MI
- NPI 1093219743
O20031218000484
-
dba Holland Hospital Primary Care - Grand Haven
- Family Medicine Physician
- Grand Haven, MI
- NPI 1225784580
O20031218000484
-
dba d/b/a Holland Hospital
- Hospitalist Physician
- Holland, MI
- NPI 1497090617
O20031218000484
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
577 Michigan Ave
Ste 20
Holland, MI 49423
Phone (616) 392-1816
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Nurse Practitioner
- Holland, MI
- NPI 1013563204
-
- Family Nurse Practitioner
- Holland, MI
- NPI 1528534716
-
- Urology Physician
- Holland, MI
- NPI 1013120633
-
- Urology Physician
- Holland, MI
- NPI 1770593741
-
- Physician Assistant
- Grand Haven, MI
- NPI 1346248564
-
- Nurse Practitioner
- Holland, MI
- NPI 1295359545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782777600000",
"number": "1952507444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 MICHIGAN AVE STE 201",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234911",
"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 STE 201",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234911",
"telephone_number": "616-392-1816",
"fax_number": "616-392-1292"
}
],
"practiceLocations": [
{
"address_1": "8300 Westpark Way",
"address_purpose": "LOCATION",
"city": "Zeeland",
"state": "MI",
"postal_code": "494647901",
"country_code": "US",
"telephone_number": "616-392-1816",
"fax_number": "616-392-1292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 S Beacon Blvd Ste 240",
"address_purpose": "LOCATION",
"city": "Grand Haven",
"state": "MI",
"postal_code": "494172654",
"country_code": "US",
"telephone_number": "616-392-1816",
"fax_number": "616-392-1292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOLLAND COMMUNITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-22",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A",
"authorized_official_last_name": "ROEHLING",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "616-394-3456"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Western Michigan Urological Assoc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Holland, MI
- Holland Community Hospital
- Holland Community Hospital
- Holland Community Hospital (Holland Hospital)
- Holland Community Hospital
- Holland Community Hospital (Holland Hospital Infusion Services)
- Holland Community Hospital
- Holland Community Hospital (Holland Hospital Ear, Nose, Throat & Allergy)
- Holland Eye Clinic, PC
- Holland Eye Clinic, PC (Holland Eye Surgery & Laser Center)
- Holland Eye Clinic, PC (Holland Eye Surgery And Laser Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.