LAKESIDE OBSTETRICS & GYNECOLOGY LLC (NPI# 1699933838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699933838 |
| Entity Type | Organization |
| Organization Name | LAKESIDE OBSTETRICS & GYNECOLOGY LLC |
| Practice Address |
980 Parkside Village Ln Osage Beach MO 65065-3098 |
| Practice Telephone | 5733021114 |
| Practice Fax Number | 5733020077 |
| Mailing Telephone | 5733021114 |
| Mailing Fax Number | 5733020077 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-11-10 |
| Authorized Official Name | DR. KEVIN JAMES HOOKER (CO MANAGER) |
| Authorized Official Telephone | 5733021114 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2008006546 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
980 PARKSIDE VILLAGE LN |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 65065-3098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356562433 | Tana Warren | Counselor | 980 Parkside Village Ln, Osage Beach, MO 65065 | 2007-05-02 |
| 1700409463 | Christine Ray Twyman | Counselor | 980 Parkside Village Ln, Osage Beach, MO 65065-3098 | 2020-05-28 |
| 1790297059 | Brooklyn Mccrorey | Social Worker | 980 Parkside Village Ln, Osage Beach, MO 65065-3098 | 2017-10-26 |
| 1497201131 | Nicole E. Parker | Psychologist | 980 Parkside Village Ln, Osage Beach, MO 65065-3098 | 2016-09-01 |
| 1689090946 | Sara Marie Harbison | Counselor | 980 Parkside Village Ln, Osage Beach, MO 65065-3098 | 2014-03-11 |
| 1811236029 | Nathan B Asbell | Counselor | 980 Parkside Village Ln, Osage Beach, MO 65065 | 2013-02-07 |
| 1508163817 | Beverly Elaine Livingston | Counselor | 980 Parkside Village Ln, Osage Beach, MO 65065-3098 | 2011-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778859 | Suzanne Marie Harris | Social Worker | 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 | 2020-04-15 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1245723337 | William T Mcfail | Counselor | 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 | 2018-06-13 |
| 1588102263 | Jennifer Kiske | Physical Therapist | 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 | 2017-02-02 |
| 1700207586 | Brenda Renee Spies | Pharmacist | 4252 Osage Beach Parkway, Osage Beach, MO 65065 | 2013-12-23 |
| 1154668465 | Paige Hedgpath Od, PC | Optometrist | 4645g Osage Beach Parkway, Osage Beach, MO 65065 | 2013-01-07 |
| 1649548330 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Kestrel Lane, Lake Ozark, MO 65065 | 2011-12-08 |
| 1437399821 | Melissa Nicole Morgan | Physical Therapy Assistant | 5177 Vicus Castri, Osage Beach, MO 65065 | 2009-02-25 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1457514259 | Lake Family Dentistry | Dentist | 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 | 2008-07-02 |
| Find all providers in zip 65065 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427218593 | Corey Ryan Babb | Obstetrics & Gynecology | 54 Hospital Dr Ste 201, Osage Beach, MO 65065-3050 | 2008-06-12 |
| 1396867503 | Bay Point Maternity and Womens Health, L.L.C. | Obstetrics & Gynecology | 1029 Nichols Rd, Suite E, Osage Beach, MO 65065-3008 | 2007-04-06 |
| 1407835085 | Robert C Nielsen | Obstetrics & Gynecology | 3870 Columbia Ave, Osage Beach, MO 65065-8689 | 2006-01-12 |
| 1821086760 | George Peyton Hubbell | Obstetrics & Gynecology | 1055 Ozark Care Dr, Suite B, Osage Beach, MO 65065-3016 | 2005-10-13 |
| 1841285681 | Becky Ann Watson | Obstetrics & Gynecology | 54 Hospital Drive, Suite 201, Osage Beach, MO 65065-3050 | 2005-09-19 |
| 1689857112 | Rodney Del Lentz | Obstetrics & Gynecology | 3870 Columbia Ave, Osage Beach, MO 65065 | 2007-12-06 |
| 1902094238 | Becky Simpson, Md, PC | Obstetrics & Gynecology | 1029 Nichols Rd Ste A, Osage Beach, MO 65065-3008 | 2007-10-11 |
| 1063626331 | Sarah Buchanan | Obstetrics & Gynecology | 3870 Columbia Ave, Osage Beach, MO 65065-8689 | 2007-05-09 |
| 1649299546 | Robert A Grover | Obstetrics & Gynecology | 3870 Columbia Ave, Osage Beach, MO 65065 | 2006-07-19 |
| 1679572119 | Mona H. Afrassiab | Obstetrics & Gynecology | 54 Hospital Dr, Suite 201, Osage Beach, MO 65065-3050 | 2005-07-18 |
| Find all providers in OSAGE BEACH | ||||
| City | OSAGE BEACH |
| Zip Code | 65065 |
Please comment or provide details below to improve the information on LAKESIDE OBSTETRICS & GYNECOLOGY LLC.
| 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.