LAKE COUNTRY UROLOGY CLINIC, PLLC (NPI# 1154453926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154453926 |
| Entity Type | Organization |
| Organization Name | LAKE COUNTRY UROLOGY CLINIC, PLLC |
| Other Organization Name | LAKE COUNTRY HEALTH ALLIANCE |
| Practice Address |
235 E Chicago St Coldwater MI 49036-1783 |
| Mailing Address |
17 Vinewood Ave Sturgis MI 49091-2375 |
| Practice Telephone | 5172784581 |
| Mailing Telephone | 2696514708 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | MARIANO L ORCA (PRESIDENT PLLC) |
| Authorized Official Telephone | 2696514708 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LAKE COUNTRY HEALTH ALLIANCE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972677870 | Lake Country Urology Clinic, Pllc | Urology | 17 Vinewood Ave, Sturgis, MI 49091-2375 | 2006-11-20 |
| 1952433732 | Lake Country Urology Clinic, Pllc | Urology | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2007-03-09 |
| 1528190303 | Lake Country Urology Clinic, Pllc | Urology | 420 W High St, Dowagiac, MI 49047-1943 | 2007-03-09 |
| Street Address |
235 E CHICAGO ST |
| City | COLDWATER |
| State | MI |
| Zip Code | 49036-1783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114906823 | Angela Kaye Adamson | Family Medicine | 235 E Chicago St, Suite 2, Coldwater, MI 49036-1783 | 2006-01-11 |
| 1447800313 | Michelle Ann Locke | Advanced Practice Midwife | 235 E Chicago St, Coldwater, MI 49036-1783 | 2019-09-12 |
| 1801264759 | Community Health Center of Branch County | Physician Assistant | 235 E Chicago St, Coldwater, MI 49036-1783 | 2015-09-09 |
| 1760881726 | C&m Compassionate Care Pllc | Family Medicine | 235 E Chicago St, Suite 2, Coldwater, MI 49036-1783 | 2014-08-15 |
| 1891101887 | George Eapen Thomas | Obstetrics & Gynecology | 235 E Chicago St, Coldwater, MI 49036-1783 | 2014-07-10 |
| 1982633798 | Coldwater Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 235 E Chicago St, Coldwater, MI 49036-1783 | 2006-07-02 |
| 1831145788 | Earlene E. Currier | Nurse Practitioner | 235 E Chicago St, Coldwater, MI 49036-1783 | 2006-05-25 |
| 1962457093 | Valerie A. Shedd | Nurse Practitioner | 235 E Chicago St, Coldwater, MI 49036-1783 | 2006-05-24 |
| 1962456822 | Edward C. Lake Jr. | Obstetrics & Gynecology | 235 E Chicago St, Coldwater, MI 49036-1783 | 2006-05-22 |
| 1457309320 | Vangala A. Reddy | Obstetrics & Gynecology | 235 E Chicago St, Coldwater, MI 49036-1783 | 2006-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295790 | Jacqueline Hensell | Physical Therapist | 320 East Chicago St, Coldwater, MI 49036 | 2018-11-27 |
| 1285104869 | Jaycie Rose Littley | Physical Therapist | 320 E Chicago Street, Coldwater, MI 49036 | 2018-11-27 |
| 1881161651 | David Linklater | Physical Therapist | Promedica Coldwater Regional Hospital, 274 East Chicago Street, Coldwater, MI 49036 | 2018-10-30 |
| 1144733734 | Luke Norcross | Social Worker | 200 Vista Drive, Coldwater, MI 49036 | 2017-11-06 |
| 1508312471 | Tiffany Vanluven | Rehabilitation Practitioner | 528 West Chicago St. Atp13, Coldwater, MI 49036 | 2016-08-30 |
| 1477904175 | Shawn Talbot | Psychologist | 300 Orleans Blvd, Coldwater, MI 49036 | 2016-06-24 |
| 1124406863 | Alexys Wolfinger | Rehabilitation Practitioner | 528 W. Chicago St. Apt. 20, Coldwater, MI 49036 | 2015-05-14 |
| 1194118968 | Kim Clemens | Rehabilitation Practitioner | 465 N Michigan Ave., Coldwater, MI 49036 | 2015-03-18 |
| 1205238854 | Coldwater Family Dentistry P.C. | Dentist | 575 N Union City Road, Coldwater, MI 49036 | 2014-09-25 |
| 1114337581 | Johnson Kattathra | Pharmacist | 620 E Chicago St, Coldwater, MI 49036 | 2014-05-06 |
| Find all providers in zip 49036 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
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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.