LAKELAND MEDICAL PRACTICES (NPI# 1487948311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487948311 |
| Entity Type | Organization |
| Organization Name | LAKELAND MEDICAL PRACTICES |
| Other Organization Name | LAKELAND RHEUMATOLOGY |
| Practice Address |
3950 Hollywood Rd 289 Saint Joseph MI 49085-9159 |
| Practice Telephone | 2694080990 |
| Practice Fax Number | 2694080993 |
| Mailing Telephone | 2694080990 |
| Mailing Fax Number | 2694080993 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES) |
| Authorized Official Telephone | 2699838304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
4301092597 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE GROUP # | MI2051 | 01 |
| Other Name | Type Code |
|---|---|
| Lakeland Rheumatology | 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 |
3950 HOLLYWOOD RD 289 |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678021 | Lowell D Smith | Internal Medicine | 3950 Hollywood Rd, Ste 240, Saint Joseph, MI 49085-9151 | 2005-06-13 |
| 1144799982 | Philip Jasheway | Physical Therapist | 3950 Hollywood Rd, Saint Joseph, MI 49085-9159 | 2018-11-23 |
| 1235608274 | Sharon Elizabeth Roberts | Occupational Therapist | 3950 Hollywood Rd, Saint Joseph, MI 49085-9159 | 2018-11-20 |
| 1588113666 | Jessica R Schulte | Nurse Practitioner | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2016-09-29 |
| 1467804567 | Debora Tenter | Nurse Practitioner | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2016-07-13 |
| 1649622796 | Emily Schlitz Fix | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-07-12 |
| 1336599901 | Kaitlyn Jackson | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-06-15 |
| 1558725903 | Adam Thiesse | Specialist/Technologist | 3950 Hollywood Rd, Suite 140, Saint Joseph, MI 49085-9159 | 2016-04-12 |
| 1336514587 | Laurel Joy Yoder | Advanced Practice Midwife | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2015-12-14 |
| 1487021481 | Kathryn Jean Kern | Advanced Practice Midwife | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2015-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| 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 |
|---|---|---|---|---|
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1417154063 | Emily Claire Larson | Internal Medicine | 802 N Riverside Rd, Suite 140, Saint Joseph, MO 64507-2502 | 2007-06-28 |
| 1982623435 | Richard T. Swanson | Internal Medicine | 3950 Hollywood Rd, Suite 280, Saint Joseph, MI 49085-9159 | 2006-07-18 |
| 1205866688 | Wendell D Bronson | Internal Medicine | 802 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-2553 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
| 1023220621 | Howard Duncan | Internal Medicine | G5085 W Bristol Rd, Flint, MI 48507 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.