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

Theodore J. Vanderkooi, MD

Individual provider Surgery Physician · NPI 1801849120

Theodore J. Vanderkooi, MD is a General Surgery in Fremont, Michigan. Graduated from University of Michigan Medical School in 1995, 31 years ago. Practices with Muskegon Surgical Associates PC, a 27-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
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

230 W Oak St Ste 201
Fremont, MI 49412-1575
Phone: (231) 924-4200
Fax: (616) 267-9046
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 065627 (MI)

Record details

NPI number1801849120
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJuly 11, 2014

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1995 (31 years in practice)
Group practice Muskegon Surgical Associates Pc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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