Lake Shore Pulmonology, PLC
NPI 1245283696 · Pulmonary Disease Physician · Spring Lake, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Shore Pulmonology, PLC is a Pulmonary Disease Physician organization in Spring Lake, MI (NPI 1245283696).
Provider details
- NPI number
- 1245283696
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Ivey, Owner/Physician(616) 847-1009
- License
- 4301407127 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-05-18
- Last updated
- 2010-04-08
Frequently asked questions
- What is Lake Shore Pulmonology, PLC's NPI number?
- Lake Shore Pulmonology, PLC's National Provider Identifier (NPI) is 1245283696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shore Pulmonology, PLC?
- Lake Shore Pulmonology, PLC is classified in the NPPES registry as Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Shore Pulmonology, PLC located?
- Lake Shore Pulmonology, PLC's practice location on file with NPPES is 17357 Van Wagoner Rd, Spring Lake, MI 49456-9702.
- What is Lake Shore Pulmonology, PLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Shore Pulmonology, PLC is (616) 847-1009.
- Does Lake Shore Pulmonology, PLC accept Medicare?
- Lake Shore Pulmonology, 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 Lake Shore Pulmonology, PLC?
- The authorized official listed on Lake Shore Pulmonology, PLC's NPPES record is Mark Ivey, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shore Pulmonology, PLC's NPI active?
- Yes — Lake Shore Pulmonology, PLC's NPI (1245283696) is active in the NPPES registry as of the last update on 2010-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.