LAKESHORE SURGICAL ASSOCIATES PC
NPI 1013973585
Surgery in Holland, MI
NPI Status: Active since April 25, 2006
Contact Information
577 MICHIGAN AVE
SUITE 202
HOLLAND, MI
ZIP 49423
Phone: (616) 394-0673
Fax: (616) 394-9825
- Organization
- Surgery
- CLIA Number: 23D0379391
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About LAKESHORE SURGICAL ASSOCIATES PC
This page provides the complete NPI Profile along with additional information for Lakeshore Surgical Associates Pc, a provider established in Holland, Michigan operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1013973585 assigned on April 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Daniel J Decook Md (President/physician)
- NPI
- 1013973585
- Provider Name
- LAKESHORE SURGICAL ASSOCIATES PC
- Entity Type
- Organization
- Location Address
- 577 MICHIGAN AVE SUITE 202 HOLLAND, MI 49423
- Location Phone
- (616) 394-0673
- Location Fax
- (616) 394-9825
- Mailing Address
- 577 MICHIGAN AVE SUITE 202 HOLLAND, MI 49423
- Mailing Phone
- (616) 394-0673
- Mailing Fax
- (616) 394-9825
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-25-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A surgeon like Lakeshore Surgical Associates Pc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0379391
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- PETER K. CHRISTENSEN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lakeshore Surgical Associates Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013973585, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HOLLAND, MI 49423
HOLLAND, MI 49423
HOLLAND, MI 49423
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013973585, enumerated as an "organization" on April 25, 2006.
The provider is located at 577 MICHIGAN AVE SUITE 202 HOLLAND, MI 49423 and the phone number is (616) 394-0673.
Surgery with taxonomy code 208600000X.
