BALANCE IN LIFE PLC — NPI 1902923246 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM in SPRING LAKE, MI)

CMS-1500 Box 24J / 33a • NPI

1902923246

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

204D00000X (CMS 12)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM

Box 32 Service Location & ZIP+4

17206 VAN WAGONER RD, SPRING LAKE, MI, 49456-9702

✓ 9-Digit EDI 837 ZIP+4 (49456-9702)

Practice Phone & Referral Fax

(616) 847-5154

Fax: (616) 842-1949

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902923246 (BALANCE IN LIFE PLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902923246` (NPI-2 Organization / Facility)
Provider / Legal Name	BALANCE IN LIFE PLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM NUCC Code: `204D00000X` (Neuromusculoskeletal Medicine & OMM)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	17206 VAN WAGONER RD, SPRING LAKE, MI, 49456-9702
Practice Telephone / Fax	Tel: (616) 847-5154 \| Fax: (616) 842-1949
Administrative Mailing Address	17206 VAN WAGONER RD, SPRING LAKE, MI, 49456-9702
Enumeration & Last Sync	Enumerated: 2007-03-23 \| CMS Record Updated: 2008-01-21
Authorized Official	THADDEUS SRUTWA (M.D. Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

17206 VAN WAGONER RD, SPRING LAKE, MI, 49456-9702

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Plain-English Taxonomy & CMS Crosswalk (204D00000X)

What Does Taxonomy Code 204D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 204D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 12 (Physician/Osteopathic Manipulative Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Neuromusculoskeletal Medicine & OMM for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BALANCE IN LIFE PLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`204D00000X` — Neuromusculoskeletal Medicine & OMM Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine & OMM	State: MI \| License: `4301045363` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BALANCE IN LIFE PLC (NPI #1902923246)