| Lakewood Family Medicine Plc | |
|
382 N 120th Ave Holland MI 49424-2169 | |
| (616) 396-6516 | |
| (616) 396-2513 |
| Full Name | Lakewood Family Medicine Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 382 N 120th Ave, Holland, Michigan |
| Authorized Official Name and Position | Timothy Victor Smith (PHYSICIAN) |
| Authorized Official Contact | 6163966516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Family Medicine Plc 382 N 120th Ave Holland MI 49424-2169 Ph: (616) 396-6516 | Lakewood Family Medicine Plc 382 N 120th Ave Holland MI 49424-2169 Ph: (616) 396-6516 |
| NPI Number | 1073609392 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 11/09/2018 |
| Medicare PECOS PAC ID | 0749290740 |
|---|---|
| Medicare Enrollment ID | O20060504000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073609392 | NPI | - | NPPES |
| 080G06011 | Other | MI | BCBS MI GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennie Louise Woehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912090507 PECOS PAC ID: 8729018163 Enrollment ID: I20050816000713 |
| Provider Name | Timothy Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295828820 PECOS PAC ID: 2365452364 Enrollment ID: I20060505000040 |
| Provider Name | Eric K Gustafson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093809543 PECOS PAC ID: 7810907821 Enrollment ID: I20060505000067 |
| Provider Name | Jon Kroeze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053405548 PECOS PAC ID: 9638189640 Enrollment ID: I20060505000101 |
| Provider Name | Patrick James Hulst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831284785 PECOS PAC ID: 4082624093 Enrollment ID: I20060505000108 |
| Provider Name | Charlotte A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235209651 PECOS PAC ID: 2365452372 Enrollment ID: I20060505000133 |
| Provider Name | Cecilia E Decook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407949910 PECOS PAC ID: 9638189632 Enrollment ID: I20060505000151 |
| Provider Name | Kurt Lindberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447344973 PECOS PAC ID: 6800806811 Enrollment ID: I20060505000161 |
| Provider Name | Martin C Berent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861587362 PECOS PAC ID: 9537179544 Enrollment ID: I20060505000180 |
| Provider Name | Beth Ann Peter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306051453 PECOS PAC ID: 7618062548 Enrollment ID: I20071005000792 |
| Provider Name | Jill K Miedema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083737969 PECOS PAC ID: 6901981471 Enrollment ID: I20080307000210 |
| Provider Name | Karla J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467545947 PECOS PAC ID: 9638344369 Enrollment ID: I20111208000391 |
| Provider Name | Robert Bruxvoort |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316927775 PECOS PAC ID: 7214925056 Enrollment ID: I20140116001205 |
| Provider Name | Tracy Anne Vanden Bosch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528450525 PECOS PAC ID: 2668775255 Enrollment ID: I20160114000655 |
| Provider Name | Lisa Ondersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457801250 PECOS PAC ID: 0941588412 Enrollment ID: I20161103001705 |
| Provider Name | Ethan Braden Morrical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376954917 PECOS PAC ID: 6204115306 Enrollment ID: I20161114000100 |
| Provider Name | Sara Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205361854 PECOS PAC ID: 7810273075 Enrollment ID: I20170425000157 |
| Provider Name | Jeff Gietzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871061085 PECOS PAC ID: 6406191766 Enrollment ID: I20181214002350 |
| Provider Name | Claudia Allyn Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528654043 PECOS PAC ID: 4981092228 Enrollment ID: I20211019002662 |
| Provider Name | Carissa Greenlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194457242 PECOS PAC ID: 4385028901 Enrollment ID: I20220831002282 |
Lakeshore Internal Medicine And Pediatric Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 437 North 120th Ave, Holland, MI 49424 Phone: 616-738-0737 | |
Hh Services - South Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Washington Ave, Holland, MI 49423 Phone: 616-796-2880 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Columbia Ave, Holland, MI 49423 Phone: 616-820-7400 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 N 120th Ave, Holland, MI 49424 Phone: 866-944-6046 | |
Holland Hospital Family Medicine - South Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Washington Ave, Holland, MI 49423 Phone: 616-392-8035 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 E 8th St, Holland, MI 49423 Phone: 616-494-5970 Fax: 616-494-5975 |