LAKESHORE EAR AND HEARING ASSOCIATES LLC (NPI# 1013236215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013236215 |
| Entity Type | Organization |
| Organization Name | LAKESHORE EAR AND HEARING ASSOCIATES LLC |
| Practice Address |
1101 Columbus Ave Grand Haven MI 49417-1556 |
| Practice Telephone | 6168473144 |
| Mailing Telephone | 6168473144 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |
| Authorized Official Name | KRISTIN KAY JOHNSTON (CO-OWNER) |
| Authorized Official Telephone | 6168473144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| Street Address |
1101 COLUMBUS AVE |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-1556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013996958 | Kristin Kay Johnston | Specialist | 1101 Columbus Ave, Grand Haven, MI 49417-1556 | 2006-01-10 |
| 1063023869 | Cadan Robert Kleinheksel | Hearing Instrument Specialist | 1101 Columbus Ave, Grand Haven, MI 49417-1556 | 2020-08-14 |
| 1174885941 | Tr Degroot Md Pllc | Otolaryngology | 1101 Columbus Ave, Grand Haven, MI 49417 | 2012-06-08 |
| 1215100268 | Clarity Health Services, LLC | Hearing Aid Equipment | 1101 Columbus Ave, Grand Haven, MI 49417-1556 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467853515 | Michigan Ear, Nose, Throat & Allergy Specialist | Otolaryngology | 1445 Sheldon Rd Ste 300, Grand Haven, MI 49417-2479 | 2014-09-09 |
| 1366462350 | Terry R Degroot | Otolaryngology | 1617 Sheldon Rd, Grand Haven, MI 49417-2543 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790004166 | Veritas Group LLC | Otolaryngology | 300 S State St Ste 1, Zeeland, MI 49464-1677 | 2010-05-25 |
| 1144354820 | Shoreline Ent Plc | Otolaryngology | 268 Seminole Rd, Muskegon, MI 49444-3733 | 2007-03-15 |
| 1205920873 | Michael Sherbin | Otolaryngology | 309 Northbound Gratiot Ave, Mount Clemens, MI 48043-5748 | 2006-10-03 |
| 1740244870 | Richard J Strabbing | Otolaryngology | 3100 N. Wellness Dr, Holland, MI 49424 | 2006-04-14 |
| 1568423986 | Joe S Chomchai | Otolaryngology | 4851 E Pickard St Ste 2700, Mount Pleasant, MI 48858-2042 | 2006-03-28 |
| 1740265362 | Mehmet Cemal Agabigum | Otolaryngology | 5040 Villa Linde Pkwy, Ste A, Flint, MI 48532-3445 | 2005-12-07 |
| 1437519279 | Kathleen Elizabeth Mcclain | Otolaryngology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2016-03-04 |
| 1285974964 | Drue A Manning | Otolaryngology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2013-02-18 |
| 1336488840 | Spectrum Health Primary Care Partners | Otolaryngology | 965 S Bailey Ave, Suite 2-5, South Haven, MI 49090-6743 | 2013-02-04 |
| 1831333715 | Lisa Jacobson D.o., P.C. | Otolaryngology | 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 | 2009-04-23 |
| Find all providers with the same taxonomy | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.