LAKELAND MEDICAL PRACTICES (NPI# 1487947446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487947446 |
| Entity Type | Organization |
| Organization Name | LAKELAND MEDICAL PRACTICES |
| Other Organization Name | LAKELAND EAR NOSE & THOART |
| Practice Address |
9045 Us Highway 31 Ste 3 Berrien Springs MI 49103-1804 |
| Mailing Address |
Po Box 458 Niles MI 49120-0458 |
| Practice Telephone | 2694719702 |
| Practice Fax Number | 2694719707 |
| Mailing Telephone | 2694719702 |
| Mailing Fax Number | 2694719707 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | JANICE CROCKER (DIRECTOR, PRACTICE OPERATIONS) |
| Authorized Official Telephone | 2696871152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301074795 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lakeland Ear Nose & Thoart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270249 | Lakeland Medical Practices | Family Medicine | 9045 Old Us 31, Suite A, Berrien Springs, MI 49103 | 2019-11-25 |
| 1407329261 | Lakeland Medical Practices | Preventive Medicine | 2500 Niles Rd Ste 4, Saint Joseph, MI 49085-3225 | 2019-01-04 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1679074470 | Lakeland Medical Practices | Clinic/Center | 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 | 2018-02-27 |
| 1174038392 | Lakeland Medical Practices | Psychiatry & Neurology | 3950 Hollywood Rd Ste 230, Saint Joseph, MI 49085-9158 | 2017-12-11 |
| 1972821460 | Lakeland Medical Practices | Clinic/Center | 42 N. St. Joseph Ave., Suite 201, Niles, MI 49120-2208 | 2010-05-10 |
| 1902462682 | Lakeland Medical Practices | Family Medicine | 3950 Hollywood Rd Ste 270, Saint Joseph, MI 49085-9158 | 2019-05-17 |
| 1710483110 | Lakeland Medical Practices | Clinic/Center | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 | 2018-04-04 |
| 1336657824 | Lakeland Medical Practices | Psychiatry & Neurology | 6559 Paw Paw Ave, Coloma, MI 49038-8805 | 2018-01-18 |
| 1164961967 | Lakeland Medical Practices | Internal Medicine | 61 N Saint Joseph Ave, Niles, MI 49120-2207 | 2017-02-14 |
| Street Address |
9045 US HIGHWAY 31 STE 3 |
| City | BERRIEN SPRINGS |
| State | MI |
| Zip Code | 49103-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104806116 | Katherine Ann Keith | Internal Medicine | 9045 Us Highway 31, Berrien Springs, MI 49103-1804 | 2006-01-18 |
| 1154947885 | University Family Dentistry | Dentist | 9045 Us Highway 31, Berrien Springs, MI 49103-1804 | 2020-06-18 |
| 1174081871 | Kourtney Renee Smith | Physical Therapist | 9045 Us Highway 31, Berrien Springs, MI 49103-1804 | 2019-03-12 |
| 1689144651 | Kaitlin Young | Physical Therapist | 9045 Us Highway 31, Berrien Springs, MI 49103-1804 | 2018-12-03 |
| 1689144669 | Jennifer Lee Hibler | Physical Therapist | 9045 Us Highway 31, Berrien Springs, MI 49103-1804 | 2018-12-03 |
| 1992164198 | Andrew Cooper | Counselor | 9045 Us Highway 31, Berrien Springs, MI 49103-1804 | 2016-02-16 |
| 1194075002 | Katrina Celeste Hamel | Physician Assistant | 9045 Us Highway 31, Suite A, Berrien Springs, MI 49103-1804 | 2012-09-18 |
| 1902086689 | University Medical Specialties, PC | Family Medicine | 9045 Us Highway 31, Berrien Springs, MI 49103-1804 | 2007-11-09 |
| 1447309372 | Frank Donald Conklin | Dentist | 9045 Us Highway 31, Berrien Springs, MI 49103-1633 | 2007-01-09 |
| 1598833279 | Cherie Michelle Wilson | Nurse Practitioner | 9045 Us Highway 31, Berrien Springs, MI 49103-1804 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270249 | Lakeland Medical Practices | Family Medicine | 9045 Old Us 31, Suite A, Berrien Springs, MI 49103 | 2019-11-25 |
| 1972163491 | Claudia Davisson | Speech-Language Pathologist | 10408 South Moccasin Trail, Berrien Springs, MI 49103 | 2019-06-17 |
| 1194291179 | Dalton Enrico Latham | Nurse Practitioner | 8521 Kephart Lane, Berrien Springs, MI 49103 | 2018-10-17 |
| 1396104303 | Healing and Restoring Pllc | Preventive Medicine | 8704 N. Bluffview Drive, Berrien Springs, MI 49103 | 2016-02-18 |
| 1508266941 | Lynn M. Schafer | Audiologist | One Sylvester Ave., Berrien Springs, MI 49103 | 2014-09-03 |
| 1427479351 | Meadowview Garden Afc | Foster Care Agency | 8817 Meadowview Court, Berrien Springs, MI 49103 | 2013-12-19 |
| 1881024511 | Loving Care Foster Homes | Assisted Living Facility | 3611 E. Snow Rd., Berrien Springs, MI 49103 | 2013-11-15 |
| 1689923054 | Raquel Dejesus | Nurse Practitioner | 4421 International Ct, Apt 13, Berrien Springs, MI 49103 | 2012-08-31 |
| 1184988685 | Paul Daniel Judge | Otolaryngology | 9045 Us Highway 31 Ste 3, Berrien Springs, MI 49103 | 2012-06-28 |
| 1285767095 | Lorie Ann Hamel | Psychologist | 9045 Us 31, Berrien Springs, MI 49103 | 2007-03-13 |
| Find all providers in zip 49103 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184988685 | Paul Daniel Judge | Otolaryngology | 9045 Us Highway 31 Ste 3, Berrien Springs, MI 49103 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
| Find all providers with the same taxonomy | ||||
| City | BERRIEN SPRINGS |
| Zip Code | 49103 |
Please comment or provide details below to improve the information on LAKELAND MEDICAL PRACTICES.
| 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.