Lakewood Family Medicine PLC
NPI 1073609392 · Family Medicine Physician · Holland, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakewood Family Medicine PLC is a Family Medicine Physician organization in Holland, MI (NPI 1073609392).
Provider details
- NPI number
- 1073609392
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Smith, Physician(616) 396-6516
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2018-11-09
Frequently asked questions
- What is Lakewood Family Medicine PLC's NPI number?
- Lakewood Family Medicine PLC's National Provider Identifier (NPI) is 1073609392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakewood Family Medicine PLC?
- Lakewood Family Medicine PLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakewood Family Medicine PLC located?
- Lakewood Family Medicine PLC's practice location on file with NPPES is 382 N 120th Ave, Holland, MI 49424-2169.
- What is Lakewood Family Medicine PLC's phone number?
- The practice phone number listed in the NPPES registry for Lakewood Family Medicine PLC is (616) 396-6516.
- Does Lakewood Family Medicine PLC accept Medicare?
- Lakewood Family Medicine PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakewood Family Medicine PLC?
- The authorized official listed on Lakewood Family Medicine PLC's NPPES record is Timothy Smith, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakewood Family Medicine PLC's NPI active?
- Yes — Lakewood Family Medicine PLC's NPI (1073609392) is active in the NPPES registry as of the last update on 2018-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.