HOLLAND PEDIATRIC ASSOCIATES, PLC
NPI 1912970922
Specialist in Holland, MI

NPI Status: Active since February 09, 2006

Contact Information

926 S. WASHINGTON AVE
BUILDING C
HOLLAND, MI
ZIP 49423
Phone: (616) 393-0166
Fax: (616) 393-8821

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  • Organization
  • Specialist
  • Accepts Insurance
  • CLIA Number: 23D0704358
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-27-2027

About HOLLAND PEDIATRIC ASSOCIATES, PLC

This page provides the complete NPI Profile along with additional information for Holland Pediatric Associates, Plc, a provider established in Holland, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1912970922 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 11 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 Lisa Vandenbosch (Administrative Coordinator)

NPI
1912970922
Provider Name
HOLLAND PEDIATRIC ASSOCIATES, PLC
Entity Type
Organization
Location Address
926 S. WASHINGTON AVE BUILDING C HOLLAND, MI 49423
Location Phone
(616) 393-0166
Location Fax
(616) 393-8821
Mailing Address
926 S. WASHINGTON AVE BUILDING C HOLLAND, MI 49423
Mailing Phone
(616) 393-0166
Mailing Fax
(616) 393-8821
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2006
Last Update Date
07-07-2015
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LISA VANDENBOSCH

Authorized Official Title
ADMINISTRATIVE COORDINATOR
Authorized Official Phone
(616) 393-0166

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
23D0704358
Facility Type
Physician Office
Certificate Effective Date
April 28, 2025
Certificate Expiration Date
April 27, 2027
Laboratory Director
KATHRYN M. DAVIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Holland Pediatric Associates, Plc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1912970922, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
2
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 1 → 2 9 → 18 → 9 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 1 + 8 + 7 + 0 + 9 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1912970922.

Other Providers at the Same Location


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

Pediatrics
926 S. WASHINGTON AVE, BLDG C
HOLLAND, MI 49423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912970922, enumerated as an "organization" on February 09, 2006.

The provider is located at 926 S. WASHINGTON AVE BUILDING C HOLLAND, MI 49423 and the phone number is (616) 393-0166.

Specialist with taxonomy code 174400000X.

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