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

Shoreline Orthopaedic & Sports Medicine Clinic, PLC

Organization Orthopaedic Surgery Physician · NPI 1275579765

Shoreline Orthopaedic & Sports Medicine Clinic, PLC is an Orthopaedic Surgery Physician in Holland, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
4

Practice location Address checks out

370 120th Ave
Holland, MI 49424-2196
Phone: (616) 396-5855
Fax: (616) 396-5720
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X (MI)
Non-Pharmacy Dispensing Site Taxonomy 332900000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1275579765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tricia Schildhouse — Practice Manager · (616) 396-5855
NPI enumeratedJune 21, 2006
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address370 N 120th Ave, Holland, MI 49424-2120

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