ASSURE FAMILY PRACTICE LLC (NPI# 1790162899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790162899 |
| Entity Type | Organization |
| Organization Name | ASSURE FAMILY PRACTICE LLC |
| Practice Address |
17187 Twin Pines Rd Suite A Lakewood WI 54138-9300 |
| Practice Telephone | 7158500700 |
| Practice Fax Number | 8664842182 |
| Mailing Telephone | 7158500700 |
| Mailing Fax Number | 8664842182 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | PEGGY S CHRISTIANSON (FNP/OWNER) |
| Authorized Official Telephone | 7158500700 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4429-33 | WI | Ambulatory Health Care Facilities |
| Street Address |
17187 TWIN PINES RD SUITE A |
| City | LAKEWOOD |
| State | WI |
| Zip Code | 54138-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023338506 | Orthopedic & Spine Therapy of Lakewood, Sc | Physical Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-07 |
| 1265841944 | Sara Piontek | Massage Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2014-08-07 |
| 1588975908 | Orthopedic & Spine Therapy of Lakewood, Sc | Durable Medical Equipment & Medical Supplies | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174830244 | Adam Robert Habeck | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2010-09-09 |
| 1386708378 | Stacey Lee Bisenius | Dental Hygienist | 15397 State Hwy 32, Lakewood, WI 54138 | 2006-12-21 |
| 1801135371 | Habeck Chiropractic Center, LLC | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2013-02-04 |
| 1407961402 | Leslee A Granke | Registered Nurse | 15397 State Highway 32, Lakewood, WI 54138 | 2006-08-20 |
| 1750376968 | Blake J Edinger | Dentist | 15397 State Highway 32, Lakewood, WI 54138 | 2005-09-14 |
| 1235458894 | Lakewood Assisted Living, LLC | Assisted Living Facility | 17185 Flynn Ln, Lakewood, WI 54138-9593 | 2010-05-21 |
| 1740272848 | Jason William Nobles | Chiropractor | 15481 Commercial Rd, Ste G, Lakewood, WI 54138-9677 | 2005-08-16 |
| 1790284438 | Oconto Hospital & Medical Center Inc | Family Medicine | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2018-02-08 |
| 1114290707 | Nicolet Pharmacy, Inc. | Pharmacy | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2012-02-14 |
| 1326221284 | Michael W Wixom | Pharmacist | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2007-12-13 |
| Find all providers in zip 54138 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1275810913 | Karmel Medical Clinic, Inc. | Clinic/Center | 11318 Bridgeport Way Sw Ste A, Lakewood, WA 98499-3054 | 2011-11-09 |
| 1093991598 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 4720 Baker Street Ext, Lakewood, NY 14750-9772 | 2008-01-14 |
| 1699394767 | Sea - Mar Community Health Center | Clinic/Center | 7424 Bridgeport Way W, Lakewood, WA 98499-8120 | 2020-04-09 |
| 1386209286 | Denver Health & Hospital Authority | Clinic/Center | 1630 Carr St, Lakewood, CO 80214-5985 | 2019-05-06 |
| 1265902324 | Neighborhood Health Care Incorporated | Clinic/Center | 16110 Detroit Ave, Lakewood, OH 44107-3715 | 2018-12-03 |
| 1982129219 | Robert Hermann Md | Clinic/Center | 4901 108th St Sw, Lakewood, WA 98499-3724 | 2017-08-08 |
| 1275964512 | Jenna Smith | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2013-12-12 |
| 1184060824 | Chiropractic & Acupuncture Centre | Clinic/Center | 1200 S Wadsworth Blvd, Suiite 100b, Lakewood, CO 80232-5473 | 2013-05-21 |
| Find all providers in LAKEWOOD | ||||
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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.