LAKELAND MEDICAL PRACTICES (NPI# 1578979415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578979415 |
| Entity Type | Organization |
| Organization Name | LAKELAND MEDICAL PRACTICES |
| Other Organization Name | LAKELAND CANCER SPECIALTIES |
| Practice Address |
42 N Saint Joseph Ave Suite 302 Niles MI 49120-2203 |
| Practice Telephone | 2694284411 |
| Practice Fax Number | 2694284422 |
| Mailing Telephone | 2694284411 |
| Mailing Fax Number | 2694284422 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | WARREN WHITE JR. (VICE PRESIDENT) |
| Authorized Official Telephone | 2699214315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301085395 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lakeland Cancer Specialties | 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 |
42 N SAINT JOSEPH AVE SUITE 302 |
| City | NILES |
| State | MI |
| Zip Code | 49120-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675140 | Jennifer Lynn Zizzo | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2005-11-03 |
| 1609235837 | Elda Nelson | Nurse Practitioner | 42 N Saint Joseph Ave, Niles, MI 49120-2203 | 2016-02-16 |
| 1184988040 | Van's Medical Equipment of Lakeland, LLC | Durable Medical Equipment & Medical Supplies | 42 N Saint Joseph Ave, Suite 102, Niles, MI 49120-2208 | 2012-06-26 |
| 1932493863 | Lakeland Medical Practices | Urology | 42 N Saint Joseph Ave, Suite 200, Niles, MI 49120-2208 | 2011-06-08 |
| 1083925119 | Kenneth Walter Kaufmann II | Obstetrics & Gynecology | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2010-06-23 |
| 1376863407 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120-2208 | 2010-06-11 |
| 1104145002 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2208 | 2010-05-18 |
| 1033438932 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 300, Niles, MI 49120-2203 | 2010-05-18 |
| 1033442421 | Laurie Ann Gee | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2009-09-16 |
| 1851523377 | Jill L Gorsuch | Surgery | 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2203 | 2009-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328878 | Leonard M Klein | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-09-29 |
| 1891038204 | Sonia Christian | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714 | 2013-04-03 |
| 1619219722 | Kristen Wendell | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714 | 2013-03-27 |
| 1912027434 | Oncology Specialists,sc | Internal Medicine | 7900 N Milwaukee Ave, Suite 16, Niles, IL 60714-3159 | 2007-03-29 |
| 1295874014 | Michiana Hematology Oncology of Michigan, P.C. | Internal Medicine | 4 Longmeadow Drive, Suite 1, Niles, MI 49120 | 2007-02-06 |
| 1164483913 | Illinois Cancer Specialists | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-03-31 |
| 1003805375 | Susan G Brown | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-10-19 |
| 1407843857 | Leonard A Kosova | Internal Medicine | 8915 W Golf Rd, 3rd Floor, Niles, IL 60714-5905 | 2005-09-30 |
| 1174510523 | John W Eklund | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-09-30 |
| 1972590347 | David Hakimian | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2005-09-30 |
| Find all providers in NILES | ||||
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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.