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

Dr. Jason Barrett Van Ittersum, MD

Individual provider Procedural Dermatology Physician · NPI 1750303079

Dr. Jason Barrett Van Ittersum, MD is a Dermatology in Norton Shores, Michigan. Graduated from University of Michigan Medical School in 1999, 27 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6225 Prairie St
Norton Shores, MI 49444-7831
Phone: (231) 798-9500
Fax: (231) 798-9533
Show map & directions

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

Additional practice locations (1)

  • 650 3 Mile Rd Nw Ste 100, Grand Rapids, MI 49544-1624 — (616) 784-9300

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301074360 (MI)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence JV074360 (MI)

Record details

NPI number1750303079
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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