LAKEWOOD FAMILY MEDICINE PLC
NPI 1073609392
Family Medicine in Holland, MI

Q: What is Lakewood Family Medicine Plc's NPI number?

The NPI number for Lakewood Family Medicine Plc is 1073609392. It was assigned to this organization in the NPPES registry on October 5, 2006.

Q: What is Lakewood Family Medicine Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 05, 2006CLIA 23D0379495 · Microscopy

382 N 120TH AVE, HOLLAND, MI 49424(616) 396-6516(616) 396-2513 Get Directions Write a Review

NPPES record last updated: November 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lakewood Family Medicine Plc NPPES

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

LAKEWOOD FAMILY MEDICINE PLC (NPI 1073609392) is a healthcare organization registered as a family medicine in Holland, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through September 15, 2027 and lists Timothy Victor Smith, Physician, as its authorized official.

NPPES Registry Identity

NPI1073609392

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKEWOOD FAMILY MEDICINE PLC

Location Address382 N 120TH AVEHolland, MI 49424-2169

Mailing Address382 N 120th AveHolland, MI 49424-2169 · (616) 396-6516 · Fax (616) 396-2513

Phone(616) 396-6516

Fax(616) 396-2513

Organization SubpartNo

Authorized OfficialTimothy Victor SmithPhysician · (616) 396-6516

Enumeration DateOctober 5, 2006

Last NPPES UpdateNovember 9, 2018

✔ NPI 1073609392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

382 N 120TH AVE, Holland, MI 49424

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Other Identifiers 1

Other080G06011MI · Bcbs Mi Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0379495

Lakewood Family Medicine · Holland, MI

Active · expires Sep 15, 2027

CLIA Number23D0379495

Laboratory TypePhysician Office

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorJon W. Kroeze

Laboratory Phone(616) 396-6516

Laboratory LocationLakewood Family Medicine382 North 120th Avenue, Holland, MI 49424

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

JON W KROEZE MD

Family Medicine