LAKESHORE MEDICAL CLINIC, LLC (NPI# 1669646287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669646287 |
| Entity Type | Organization |
| Organization Name | LAKESHORE MEDICAL CLINIC, LLC |
| Practice Address |
2000 E Layton Ave Saint Francis WI 53235-6053 |
| Practice Telephone | 4147446589 |
| Mailing Telephone | 4147446589 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | JEFFREY BAHR (PRESIDENT) |
| Authorized Official Telephone | 4142991606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922356252 | Lakeshore Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | S68w15500 Janesville Rd, Muskego, WI 53150-2613 | 2012-08-16 |
| 1962607366 | Lakeshore Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 14555 W National Ave, Ste 165, New Berlin, WI 53151-4494 | 2007-06-18 |
| 1790980191 | Lakeshore Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 3305 S 20th St, Milwaukee, WI 53215-4940 | 2007-06-18 |
| 1114087053 | Lakeshore Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 3611 S Chicago Ave, South Milwaukee, WI 53172-3708 | 2006-12-11 |
| 1003861188 | Lakeshore Medical Clinic, LLC | Clinic/Center | 2000 E Layton Ave, Ste 100, Milwaukee, WI 53235-6053 | 2006-05-24 |
| Street Address |
2000 E LAYTON AVE |
| City | SAINT FRANCIS |
| State | WI |
| Zip Code | 53235-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295814028 | Raul Mateo | Family Medicine | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-11-03 |
| 1053499566 | Richard M. Hayes | Internal Medicine | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-11-01 |
| 1659459188 | Leyla M Solis | Family Medicine | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-11-01 |
| 1023103991 | Jonathan M Lubens | Internal Medicine | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-10-04 |
| 1154338374 | Montine Rene Pauers | Counselor | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-08-01 |
| 1710911938 | Aurora Pharmacy Inc | Pharmacy | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-07-11 |
| 1750375143 | Ahmad S Khraisat | Internal Medicine | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689068140 | Asma Sayeed | Family Medicine | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2015-03-23 |
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1013961200 | Melanie Danielson | Pharmacist | 2000 E Layton Ave., St Francis, WI 53235 | 2006-05-20 |
| 1861903130 | John Elmer Bukowski | Physician Assistant | 2000 E Layton Ave Ste 130, St Francis, WI 53235 | 2017-10-13 |
| 1790758951 | Andre Daniel | Specialist/Technologist | 3501 S Lake Dr, Milwaukee, WI 53235-0900 | 2006-02-08 |
| 1477067205 | Matthew Seipel | Registered Nurse | 1930 E Saint Francis Ave, St Francis, WI 53235-3633 | 2017-12-01 |
| 1093222721 | M Seipel LLC | Registered Nurse | 1930 E Saint Francis Ave, Saint Francis, WI 53235-3633 | 2018-01-03 |
| 1366714008 | Kathy Snopek | Registered Nurse | 2115 E Saint Francis Ave, St Francis, WI 53235-3636 | 2012-01-26 |
| 1629079132 | St Ann Center for Intergenerational Care Inc | Licensed Practical Nurse | 3221 S Lake Dr, Milwaukee, WI 53235-3702 | 2005-08-09 |
| 1629327531 | Lorenna Wilson | Licensed Practical Nurse | 3221 S Lake Dr, St Francis, WI 53235-3702 | 2012-09-06 |
| Find all providers in zip 53235 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821040 | Krien Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 105 W Washington St, Saint Francis, KS 67756-5678 | 2005-06-16 |
| 1174570915 | Great Plains of Cheyenne County Inc. | Durable Medical Equipment & Medical Supplies | 210 W 1st St, Saint Francis, KS 67756-3540 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659983070 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 507 Jefferson St E # 34, West Salem, WI 54669-9560 | 2020-08-18 |
| 1356959506 | A Journey Home Medsupply | Durable Medical Equipment & Medical Supplies | 9575 W Fond Du Lac Ave Apt 19, Milwaukee, WI 53225-1645 | 2020-07-14 |
| 1801410097 | Discountramps.com LLC | Durable Medical Equipment & Medical Supplies | N102w19400 Willow Creek Way, Germantown, WI 53022-3703 | 2020-06-03 |
| 1861016404 | Active Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1233 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-3255 | 2020-05-29 |
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1114551165 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3536 52nd St Ste P, Kenosha, WI 53144-2662 | 2020-02-28 |
| 1972137842 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4635 W College Ave Ste 114, Appleton, WI 54914-8507 | 2020-02-28 |
| 1104458140 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 | 2020-02-07 |
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
| City | SAINT FRANCIS |
| Zip Code | 53235 |
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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.