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

Dr. Thomas Provo Pfotenhauer Jr., DO

Individual provider Internal Medicine Physician · NPI 1457796229

Dr. Thomas Provo Pfotenhauer Jr., DO is a Hospitalist in Holland, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2013, 13 years ago. Practices with Holland Community Hospital, a 175-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

602 Michigan Ave
Holland, MI 49423-4918
Phone: (616) 355-3896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101020364 (MI)

Record details

NPI number1457796229
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2013
Last updated in NPPESJune 17, 2016

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Holland Community Hospital — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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