Michael J Dejong, M.D.
Michael J Dejong is a Surgery Physician provider (Surgery) practicing in Wyoming, MI, registered in the NPPES registry with NPI 1609857143 since 2005. The credential MD stands for Doctor of Medicine. Practices at West Michigan Surgical Specialists Plc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609857143 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Michael J Dejong |
| Credential | M.D. |
| Sex | Male |
| Practice address | 1045 GEZON PKWY SW, Wyoming, MI, 49509 |
| Phone | 6164565311 |
| Fax | 6164567955 |
| Enumeration date | 2005-11-10 |
| Last updated in NPPES | 2018-07-13 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 4301059493 | MI |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0D16117 | Other | MI | BCBS |
| 3481167 | Medicaid | MI | — |
Copy-ready billing details
Provider: Michael Dejong, M.D. NPI: 1609857143 Taxonomy: 208600000X (Surgery Physician) Address: 1045 GEZON PKWY SW, Wyoming, MI, 49509
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821094129 | Wayne Vanderkolk | Individual | Surgery Physician | Wyoming, MI |
| 1245211796 | Daniel Borreson | Individual | Surgery Physician | Wyoming, MI |
| 1922080910 | Michael Leahy | Individual | Surgery Physician | Wyoming, MI |
| 1831171826 | Stanley Sherman | Individual | Surgery Physician | Wyoming, MI |
| 1679508659 | West Michigan Surgical Specialists Plc | Organization | Surgery Physician | Wyoming, MI |
| 1760600639 | Joel Green | Individual | Surgery Physician | Wyoming, MI |
| 1205031036 | Eric Mitchell | Individual | Surgery Physician | Wyoming, MI |
| 1245416775 | Shanna Williams | Individual | Surgery Physician | Wyoming, MI |
Verify this record
Cross-check NPI 1609857143 against the authoritative CMS record: view Michael J Dejong on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-07-13.