Active NPI
Lakeshore Health Partners
- Internal Medicine Physician
- Holland, MI
National Provider Identifier
1962634378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301044431
- Legal business name
- LAKESHORE HEALTH PARTNERS
- Practice address
- 3235 N Wellness Dr
Suite 120B
Holland, MI 49424-7264 - Phone
- (616) 403-9559
- Fax
- (616) 396-9532
- NPI assigned
- Aug 18, 2009
- 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
- Terry L Steele
- Title
- Cfo
- Phone
- (616) 394-3515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301044431 | MI | Primary |
Addresses
Primary practice location
3235 N Wellness Dr
Suite 120B
Holland, MI 49424-7264
Mailing address
3235 N Wellness Dr
Suite 120B
Holland, MI 49424-7264
Phone (616) 403-9559
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 |
|---|---|---|---|
| 23D0889118 | Lakeshore Health Partners | Provider-performed microscopy | Jul 21, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250553600000",
"number": "1962634378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 N WELLNESS DR",
"address_2": "SUITE 120B",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494247264",
"telephone_number": "616-403-9559",
"fax_number": "616-396-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 N WELLNESS DR",
"address_2": "SUITE 120B",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494247264",
"telephone_number": "616-403-9559",
"fax_number": "616-396-9532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESHORE HEALTH PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A",
"authorized_official_last_name": "STEELE",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "616-394-3515"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301044431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
- Lakehsore Otolaryngology
- Lakeshore Allergy PC
- Lakeshore Area Radiation Oncology Center
- Lakeshore Eyecare Center PC
- Lakeshore Family Chiropractic, PLC
- Lakeshore Internal Medicine and Pediatric Associates
- Lakeshore Plastic and Reconstructive Surgery Associates, P.C. (Plastic Surgery Arts of West Michigan)
- Lakeshore Psychological & Counseling Services, PC
- Lakeshore Senior Care LLC (Lakeshore Senior Care)
- Lakeshore Sleep Solutions, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.