Lakeshore Allergy PC
NPI 1639108863 · Allergy Physician · Holland, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeshore Allergy PC is a Allergy Physician organization in Holland, MI (NPI 1639108863).
Provider details
- NPI number
- 1639108863
- Entity type
- Organization
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Hutson, Owner Operator Physician(616) 738-4262
- License
- 4301051148 (MI)
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
- 2006-07-01
- Last updated
- 2012-02-27
Frequently asked questions
- What is Lakeshore Allergy PC's NPI number?
- Lakeshore Allergy PC's National Provider Identifier (NPI) is 1639108863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Allergy PC?
- Lakeshore Allergy PC is classified in the NPPES registry as Allergy Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeshore Allergy PC located?
- Lakeshore Allergy PC's practice location on file with NPPES is 3290 N Wellness, Holland, MI 49424.
- What is Lakeshore Allergy PC's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Allergy PC is (616) 738-4262.
- Does Lakeshore Allergy PC accept Medicare?
- Lakeshore Allergy PC 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 Lakeshore Allergy PC?
- The authorized official listed on Lakeshore Allergy PC's NPPES record is Julie Hutson, Owner Operator Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Allergy PC's NPI active?
- Yes — Lakeshore Allergy PC's NPI (1639108863) is active in the NPPES registry as of the last update on 2012-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.