Lake Michigan Dermatology PLLC
NPI 1235863978 · Dermatology Physician · Holland, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Michigan Dermatology PLLC is a Dermatology Physician organization in Holland, MI (NPI 1235863978).
Provider details
- NPI number
- 1235863978
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Berger, Manager, Owner(616) 499-4844
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
3 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
- 2022-07-10
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Frequently asked questions
- What is Lake Michigan Dermatology PLLC's NPI number?
- Lake Michigan Dermatology PLLC's National Provider Identifier (NPI) is 1235863978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Michigan Dermatology PLLC?
- Lake Michigan Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Michigan Dermatology PLLC located?
- Lake Michigan Dermatology PLLC's practice location on file with NPPES is 1148 Washington Ave Ste 20, Holland, MI 49423-7728.
- What is Lake Michigan Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Michigan Dermatology PLLC is (616) 499-4844.
- Does Lake Michigan Dermatology PLLC accept Medicare?
- Lake Michigan Dermatology PLLC 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 Lake Michigan Dermatology PLLC?
- The authorized official listed on Lake Michigan Dermatology PLLC's NPPES record is Anthony Berger, Manager, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Michigan Dermatology PLLC's NPI active?
- Yes — Lake Michigan Dermatology PLLC's NPI (1235863978) is active in the NPPES registry as of the last update on 2023-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.