Shoreline Orthopaedic & Sports Medicine Clinic,plc
NPI 1275579765ActiveOrganization· Orthopaedic Surgery· Holland, MI
Orthopaedic Surgery in Holland, Michigan, registered in NPPES in June 2006. The authorized official on file is Tricia Schildhouse, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275579765 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2006 |
| Last updated in NPPES | Mar 3, 2026 |
| Certified by provider | Mar 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | — | MI |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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