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LAKESHORE INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES
NPI 1003924739
Clinic/Center - Multi-Specialty in Holland, MI

Active since August 25, 2006
437 NORTH 120TH AVE, HOLLAND, MI 49424(616) 738-0737 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeshore Internal Medicine And Pediatric Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESHORE INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES (NPI 1003924739) is a healthcare organization registered as a multi-specialty in Holland, Michigan and active in the NPI registry since August 2006. The organization lists Barbara Martin, Billing, as its authorized official.

NPPES Registry Identity

NPI1003924739
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLAKESHORE INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES
Location Address437 NORTH 120TH AVEHolland, MI 49424
Mailing Address437 North 120th AveHolland, MI 49424 · (616) 738-0737
Phone(616) 738-0737
Organization SubpartNo
Authorized OfficialBarbara MartinBilling · (616) 453-6329
Enumeration DateAugust 25, 2006
Last NPPES UpdateJune 7, 2016
✔ NPI 1003924739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Licenses✔ Licensed in MI · 4301066494✔ Licensed in MI · 4301074294✔ Licensed in MI · 4301074445
437 NORTH 120TH AVE, Holland, MI 49424
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Other Identifiers 8

Medicare UPING96493MI
Medicaid4531728MI
Medicaid4529541MI
Medicare UPINH83269MI
Medicare ID-Type Unspecified0N14150002MI · Dr Schrotenboer
Medicare ID-Type Unspecified0N14150004MI · Dr Miller
Medicare UPINH64113MI
Medicaid4193863MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRICIA R MILLER MD
Pediatrics
437 NORTH 120TH AVE
HOLLAND, MI 49424
Ottawa County (616) 738-0737
GREGORY A SCHROTENBOER MD
Pediatrics
437 NORTH 120TH AVE
HOLLAND, MI 49424
Ottawa County (616) 738-0737

Frequently Asked Questions

What is LAKESHORE INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES's NPI number?

The NPI number assigned to this healthcare provider is 1003924739, enumerated as an "organization" on August 25, 2006.

Where is the provider located?

The provider is located at 437 NORTH 120TH AVE HOLLAND, MI 49424 and the phone number is (616) 738-0737.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

What insurance does LAKESHORE INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES accept?

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.