What is Jack Derks's NPI number?

Jack Derks's National Provider Identifier (NPI) is 1134144413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Derks's specialty?

Jack Derks is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Jack Derks located?

Jack Derks's practice location on file with NPPES is 601 Michigan Ave Ste 104, Holland, MI 49423-4951.

What is Jack Derks's phone number?

The practice phone number listed in the NPPES registry for Jack Derks is (616) 392-2361.

Is Jack Derks's NPI active?

Yes — Jack Derks's NPI (1134144413) is active in the NPPES registry as of the last update on 2007-12-11.

IndividualActive

Jack Derks, MD

NPI 1134144413 · Family Medicine Physician · Holland, MI

Jack Derks, MD is a Family Medicine Physician provider in Holland, MI (NPI 1134144413).

Provider details

NPI number: 1134144413
Entity type: Individual
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: 4301028907 (MI)

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense 4301028907 (MI)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

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

601 Michigan Ave Ste 104

Holland, MI 49423-4951

Phone: (616) 392-2361

Fax: (616) 392-2364

Street-level locationGet directions

More MI providers

Mailing address