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

Jack O Derks, MD

Individual provider Family Medicine Physician · NPI 1134144413

Jack O Derks, MD is a Family Medicine Physician in Holland, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

601 Michigan Ave Ste 104
Holland, MI 49423-4951
Phone: (616) 392-2361
Fax: (616) 392-2364
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301028907 (MI)

Record details

NPI number1134144413
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 13, 2006
Last updated in NPPESDecember 11, 2007
Mailing address601 Michigan Ave Ste 104, Holland, MI 49423-4951

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