LAKESHORE RHEUMATOLOGY, LLC (NPI# 1104001098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104001098 |
| Entity Type | Organization |
| Organization Name | LAKESHORE RHEUMATOLOGY, LLC |
| Practice Address |
377 W Riverwoods Parkway Suite 190 Glendale WI 53212 |
| Practice Telephone | 4143939833 |
| Mailing Telephone | 4143939833 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | DR. JUSTINA TSENG (OWNER) |
| Authorized Official Telephone | 4143939833 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
49141-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
377 W RIVERWOODS PARKWAY SUITE 190 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1740804996 | Honorhealth Ambulatory | Internal Medicine | 6220 W Bell Rd Ste 130, Glendale, AZ 85308-3896 | 2020-06-03 |
| 1477867257 | Lynnette Tatosyan, Do Inc | Internal Medicine | 1505 Wilson Ter, 315, Glendale, CA 91206-4071 | 2010-08-04 |
| 1629133236 | Noune Pashinian Md A Professional Corporation | Internal Medicine | 435 Arden Ave, #510, Glendale, CA 91203-1137 | 2006-12-26 |
| 1952460859 | Noune Pashinian | Internal Medicine | 435 Arden Ave Ste 510, Glendale, CA 91203-2506 | 2006-12-06 |
| 1710058987 | Nickolay T. Teophilov | Internal Medicine | 222 W Eulalia St, Suite 301, Glendale, CA 91204-2849 | 2006-11-10 |
| 1447273263 | Dan La Md Inc | Internal Medicine | 801 S Chevy Chase Dr, Ste 101, Glendale, CA 91205-4431 | 2006-07-25 |
| 1407881931 | Steven R Bergquist | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-07-12 |
| 1750316345 | Miriam Naoum Hanna | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-07-11 |
| 1588695738 | Mark A Schrager | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-07-06 |
| 1962433136 | Kurt R Oelke | Internal Medicine | 7080 N Port Washington Rd, Glendale, WI 53217-3838 | 2006-07-06 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.