Lakeshore Derm & Laser Center Plc
About this NPIWhat this record shows.
NPI 1538209945 is registered to Lakeshore Derm & Laser Center Plc, a healthcare organisation classified as "Procedural Dermatology Physician" and located at 6225 Prairie St in Norton Shores, Michigan. The organisation's authorised official is Jason Van Ittersum. The organisation has been enumerated in the NPI registry since 2007.
Your brand here.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20060329000031Clinic/Group PracticeMI
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lakeshore Derm & Laser Center Plc accepts. To confirm in-network status with your specific health plan, contact Lakeshore Derm & Laser Center Plc directly at (231) 798-9500.
Frequently asked
Yes. NPI 1538209945 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Procedural Dermatology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (231) 798-9500.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lakeshore Derm & Laser Center Plc is a Type-2 organisational NPI.