LAKEWOOD FAMILY MEDICINE PLC (NPI# 1073609392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073609392 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD FAMILY MEDICINE PLC |
| Practice Address |
382 N 120th Ave Holland MI 49424-2169 |
| Practice Telephone | 6163966516 |
| Practice Fax Number | 6163962513 |
| Mailing Telephone | 6163966516 |
| Mailing Fax Number | 6163962513 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-11-09 |
| Authorized Official Name | TIMOTHY VICTOR SMITH (PHYSICIAN) |
| Authorized Official Telephone | 6163966516 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS MI GROUP NUMBER | 080G06011 | 01 |
| Street Address |
382 N 120TH AVE |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316927775 | Robert J Bruxvoort | Family Medicine | 382 N 120th Ave, Holland, MI 49424-2169 | 2006-01-20 |
| 1871061085 | Jeff Gietzen | Nurse Practitioner | 382 N 120th Ave, Holland, MI 49424-2169 | 2018-11-06 |
| 1205361854 | Sara Post | Nurse Practitioner | 382 N 120th Ave, Holland, MI 49424-2169 | 2017-04-20 |
| 1457801250 | Lisa Anne Ondersma-lowetz | Nurse Practitioner | 382 N 120th Ave, Holland, MI 49424-2169 | 2016-10-05 |
| 1417359290 | Anna K Wassink | Nurse Practitioner | 382 N 120th Ave, Holland, MI 49424-2169 | 2014-09-23 |
| 1437402625 | Londa Kurburski | Social Worker | 382 N 120th Ave, Holland, MI 49424-2169 | 2012-10-25 |
| 1306051453 | Beth Peter | Family Medicine | 382 N 120th Ave, Holland, MI 49424-2169 | 2007-05-11 |
| 1235209651 | Charlotte Johnson | Family Medicine | 382 N 120th Ave, Holland, MI 49424-2169 | 2006-11-09 |
| 1215007638 | Hillichien W Hoekman | Family Medicine | 382 N 120th Ave, Holland, MI 49424-2169 | 2006-11-09 |
| 1831284785 | Patrick J Hulst | Family Medicine | 382 N 120th Ave, Holland, MI 49424 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689232308 | Andrea Born | Family Medicine | 6135 Trust Dr Ste 230, Holland, OH 43528-9360 | 2019-05-29 |
| 1407207376 | Michael Borenitsch | Family Medicine | 904 Washington Ave Ste 210, Holland, MI 49423-7724 | 2016-06-22 |
| 1497131775 | Springfield Urgent Care LLC | Family Medicine | 6819 Spring Valley Dr, Holland, OH 43528-9487 | 2015-08-10 |
| 1588925150 | Aria Health Physician Services | Family Medicine | 1496 Buck Rd, Suite A6, Holland, PA 18966-2626 | 2012-05-31 |
| 1962713974 | Duane J. Kerscher Jr., D.o. D.b.a. Springfield Clinic L.L.C. | Family Medicine | 8133 Airport Hwy, Holland, OH 43528-9060 | 2010-06-24 |
| 1912154097 | Stephen W Welk | Family Medicine | 11829 Matteson Corners Rd, Holland, NY 14080-9639 | 2008-08-20 |
| 1255525721 | Little Company of Mary Hospital of Indiana Inc. | Family Medicine | 303 North Meridian Street, Holland, IN 47541 | 2007-08-28 |
| 1134339161 | Village Shires Family Medicine | Family Medicine | 1496 Buck Rd Ste A6, Holland, PA 18966-2626 | 2007-05-22 |
| 1083737969 | Jill Miedema | Family Medicine | 382 120th Ave, Holland, MI 49424-2169 | 2007-04-07 |
| 1649319054 | Ryan Flamion | Family Medicine | 303 N Meridian Street, Holland, IN 47541 | 2007-02-05 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.