Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shoreline Orthopaedic & Sports Medicine Clinic P L C

Organization Orthopaedic Surgery Physician · NPI 1619674512

Shoreline Orthopaedic & Sports Medicine Clinic P L C is an Orthopaedic Surgery Physician in Hudsonville, Michigan. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

3509 Kelly St
Hudsonville, MI 49426-1407
Phone: (616) 396-5855
Fax: (877) 592-0688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 370 N 120th Ave, Holland, MI 49424-2120 — (616) 396-5855

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1619674512
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShoreline Orthopaedic & Sports Medicine Clinic P L C
Authorized official Tricia Schildhouse — Ceo · (616) 396-5855
NPI enumeratedFebruary 10, 2023
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address370 N 120th Ave, Holland, MI 49424-2120