LAKEHSORE OTOLARYNGOLOGY
NPI 1770696379
Otolaryngology - Facial Plastic Surgery in Holland, MI

NPI Status: Active since August 16, 2006

Contact Information

577 MICHIGAN AVENUE
SUITE 101
HOLLAND, MI
ZIP 49423
Phone: (616) 393-2190
Fax: (616) 393-0147

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  • Organization
  • Otolaryngology
  • Facial Plastic Surgery

About LAKEHSORE OTOLARYNGOLOGY

This page provides the complete NPI Profile along with additional information for Lakehsore Otolaryngology, a provider established in Holland, Michigan operating as a Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1770696379 assigned on August 2006. The practitioner's primary taxonomy code is 207YS0123X. 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 Theodore S Vanderveen M.d. (President)

NPI
1770696379
Provider Name
LAKEHSORE OTOLARYNGOLOGY
Entity Type
Organization
Location Address
577 MICHIGAN AVENUE SUITE 101 HOLLAND, MI 49423
Location Phone
(616) 393-2190
Location Fax
(616) 393-0147
Mailing Address
577 MICHIGAN AVENUE SUITE 101 HOLLAND, MI 49423
Mailing Phone
(616) 393-2190
Mailing Fax
(616) 393-0147
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2006
Last Update Date
08-22-2020
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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

Otolaryngology Facial Plastic Surgery

Taxonomy Code
207YS0123X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist who specializes in facial plastic surgery.

Group Taxonomy 193400000X 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THEODORE S VANDERVEEN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(616) 393-2190

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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 1770696379, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 2 + 9 + 1 + 2 + 3 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1770696379.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
577 MICHIGAN AVENUE, SUITE 101
HOLLAND, MI 49423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770696379, enumerated as an "organization" on August 16, 2006.

The provider is located at 577 MICHIGAN AVENUE SUITE 101 HOLLAND, MI 49423 and the phone number is (616) 393-2190.

Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.