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: August 16, 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
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

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

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.

Pediatrics
437 NORTH 120TH AVE
HOLLAND, MI 49424
Pediatrics
437 NORTH 120TH AVE
HOLLAND, MI 49424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Internal Medicine And Pediatric Associates's NPI number?

The NPI number for Lakeshore Internal Medicine And Pediatric Associates is 1003924739. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Lakeshore Internal Medicine And Pediatric Associates located?

Lakeshore Internal Medicine And Pediatric Associates is located at 437 North 120th Ave, Holland, MI 49424. The listed phone number is (616) 738-0737.

What is Lakeshore Internal Medicine And Pediatric Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Lakeshore Internal Medicine And Pediatric Associates accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeshore Internal Medicine And Pediatric Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeshore Internal Medicine And Pediatric Associates was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.