TAMAR LAKE (NPI# 1720306632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720306632 |
| Entity Type | Individual |
| Full Name | TAMAR LAKE |
| Credential | MD |
| Practice Address |
2215 Fuller Rd Ann Arbor MI 48105-2303 |
| Mailing Address |
1500 E Medical Center Dr 1h247 Ann Arbor MI 48109-5000 |
| Practice Telephone | 7347697100 |
| Practice Fax Number | 7349369091 |
| Mailing Telephone | 7349364280 |
| Mailing Fax Number | 7349369091 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 4301096607 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| Street Address |
2215 FULLER RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975075 | Susan M Meador | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2005-07-11 |
| 1972101103 | Blaine Franklin | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-10 |
| 1306443262 | Benjamin Pfeifer | Psychologist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-05 |
| 1083223044 | John Zemicki | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-27 |
| 1790394955 | Jyness Ariel Williams | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-23 |
| 1114545761 | Emily Sahagian | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-10 |
| 1831717586 | Jessica Vogt | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-09 |
| 1881212488 | Scarlett Kettwich | Dentist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-09 |
| 1518584879 | Lauren Mcculley | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-02 |
| 1023634243 | Amanjot Kaur Sarao | Dentist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871991943 | Mikio H Hiraga | Anesthesiology | 4801 Doral Dr, Ann Arbor, MI 48108-8536 | 2014-12-05 |
| 1841636065 | Ryan Thomas Brunner | Anesthesiology | Cardiovascular Center, Rm. 4172, 1500 E. Medical Center, Ann Arbor, MI 48109 | 2013-05-14 |
| 1396086708 | Catherine Ann Dowling | Anesthesiology | 3110 Fairhaven Ct, Ann Arbor, MI 48105-9665 | 2013-03-10 |
| 1366738213 | Zeena Husain | Anesthesiology | 5301 East Huron River, Anesthesia Department, Ann Arbor, MI 48106 | 2011-06-20 |
| 1871887588 | Richard Arthur Pollock | Anesthesiology | 3044 Signature Blvd, Apt G, Ann Arbor, MI 48103-6915 | 2011-05-31 |
| 1104145739 | Jessica Newman | Anesthesiology | 317 Burr Oak Dr, Ann Arbor, MI 48103-2079 | 2010-05-21 |
| 1649430026 | John Gabriel Hagen | Anesthesiology | 712 W Huron St Apt 107, Ann Arbor, MI 48103-4261 | 2008-06-10 |
| 1487833588 | Regents of The University of Michigan | Anesthesiology | 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 | 2007-10-25 |
| 1124148523 | Paul Edward Hilliard | Anesthesiology | 325 E Eisenhower Parkway, Ste 100, Ann Arbor, MI 48108-5721 | 2007-03-30 |
| 1174642474 | Goodarz M Golmirzaie | Anesthesiology | 325 Eisenhower Parkway, Suite 100, Ann Arbor, MI 48108-5721 | 2007-03-28 |
| Find all providers in ANN ARBOR | ||||
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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.