LAKESHORE SPINE AND PAIN PC (NPI# 1699043299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699043299 |
Entity Type | Organization |
Organization Name | LAKESHORE SPINE AND PAIN PC |
Other Organization Name | ACCESSIBLE URGENT CARE |
Practice Address |
5511 W Us Highway 10 Suite B Ludington MI 49431-2455 |
Practice Telephone | 2318431553 |
Enumeration Date | 2011-12-09 |
Last Update Date | 2011-12-12 |
Authorized Official Name | RAJ MAKWANA (ADMINISTRATOR) |
Authorized Official Telephone | 2318431553 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Accessible Urgent Care | Doing Business As Name - Organization |
Street Address |
5511 W US HIGHWAY 10 SUITE B |
City | LUDINGTON |
State | MI |
Zip Code | 49431-2455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225066061 | Michael E Luttropp Jr. | Specialist | 5511 W Us Highway 10, Ludington, MI 49431-2455 | 2006-06-29 |
1093156275 | Rutvi Yashvant Chauhan | Physical Therapist | 5511 W Us Highway 10, Ludington, MI 49431-2455 | 2013-07-16 |
1295171650 | Great Lakes Medical, P.C. | Clinic/Center | 5511 W Us Highway 10, Suite A, Ludington, MI 49431-2455 | 2013-05-13 |
1023305711 | Ron Januel Lawrence | Physical Therapist | 5511 W Us Highway 10, Suite B, Ludington, MI 49431-2455 | 2011-07-01 |
1134455785 | Dipa B. Patel | Physical Therapist | 5511 W Us Highway 10, Suite # B, Ludington, MI 49431-2455 | 2009-11-02 |
1760679393 | Nilay M Patel | Physical Therapist | 5511 W Us Highway 10, Suite B, Ludington, MI 49431-2455 | 2007-09-27 |
1871676254 | David Michael Hammond-koskey | Physician Assistant | 5511 W Us Highway 10, Ludington, MI 49431-2455 | 2006-10-23 |
1104915610 | Shradhdhey K. Patel | Physical Therapist | 5511 W Us Highway 10, Ludington, MI 49431-2455 | 2006-10-12 |
1730283920 | U.S. Rehabilitation Services Inc | Clinic/Center | 5511 W Us Highway 10, Suite B, Ludington, MI 49431-2455 | 2006-09-11 |
1073625125 | Nina Marie Foster | Physician Assistant | 5511 W Us Highway 10, Ludington, MI 49431-2455 | 2006-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
Find all providers in zip 49431 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578676441 | Primary Health Services PC | Clinic/Center | 505 W Ludington Ave, Ludington, MI 49431-2029 | 2006-08-16 |
1093161820 | Memorial Medical Center of West Michigan | Clinic/Center | 250 Nelson Rd, Suite 1, Ludington, MI 49431-1993 | 2016-05-11 |
1982063210 | Memorial Medical Center of West Michigan | Clinic/Center | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2016-02-15 |
1346628518 | Memorial Medical Center of West Michigan | Clinic/Center | 922 Lawndale St, Ludington, MI 49431-1928 | 2015-05-08 |
1518385806 | Mercy Health Partners | Clinic/Center | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2014-04-03 |
1295171650 | Great Lakes Medical, P.C. | Clinic/Center | 5511 W Us Highway 10, Suite A, Ludington, MI 49431-2455 | 2013-05-13 |
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1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
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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.