LAKE COUNTRY UROLOGY CLINIC, PLLC (NPI# 1952433732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952433732 |
| Entity Type | Organization |
| Organization Name | LAKE COUNTRY UROLOGY CLINIC, PLLC |
| Other Organization Name | LAKE COUNTRY HEALTH ALLIANCE |
| Practice Address |
711 S Health Pkwy Three Rivers MI 49093-9387 |
| Mailing Address |
17 Vinewood Ave Sturgis MI 49091-2375 |
| Practice Telephone | 2696514708 |
| Mailing Telephone | 2696514708 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | MARIANO L ORCA (PRESIDENT, PLLC) |
| Authorized Official Telephone | 2696514708 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LAKE COUNTRY HEALTH ALLIANCE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972677870 | Lake Country Urology Clinic, Pllc | Urology | 17 Vinewood Ave, Sturgis, MI 49091-2375 | 2006-11-20 |
| 1154453926 | Lake Country Urology Clinic, Pllc | Urology | 235 E Chicago St, Coldwater, MI 49036-1783 | 2007-03-09 |
| 1528190303 | Lake Country Urology Clinic, Pllc | Urology | 420 W High St, Dowagiac, MI 49047-1943 | 2007-03-09 |
| Street Address |
711 S HEALTH PKWY |
| City | THREE RIVERS |
| State | MI |
| Zip Code | 49093-9387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265413520 | Heidi Lynn Alexander | Physician Assistant | 711 S Health Pkwy, Suite 4, Three Rivers, MI 49093-9387 | 2005-11-14 |
| 1790125367 | Otavio Pereira Rodrigues | Internal Medicine | 711 S Health Pkwy, Three Rivers, MI 49093 | 2013-06-27 |
| 1942541636 | Three Rivers Health System, Inc | Internal Medicine | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2013-03-06 |
| 1356696538 | Three Rivers Health | Clinic/Center | 711 S Health Pkwy, Suite 3, Three Rivers, MI 49093-9387 | 2012-07-13 |
| 1992050173 | Three Rivers Health System, Inc | Clinic/Center | 711 S Health Pkwy, Suite 3, Three Rivers, MI 49093-9387 | 2012-07-13 |
| 1386916575 | Three Rivers Health System, Inc | Obstetrics & Gynecology | 711 S Health Pkwy, Suite 1, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1043582224 | Three Rivers Health System, Inc | Clinic/Center | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1508138785 | Three Rivers Health System, Inc | Family Medicine | 711 S Health Pkwy, Suite 4, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1467724658 | Three Rivers Health System, Inc | Home Health | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1366714552 | Three Rivers Health System, Inc | Hospice Care, Community Based | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366833865 | Brandy Peterson | Technician/Technologist | 18511 South River Rd, Three Rivers, MI 49093 | 2015-02-05 |
| 1073933958 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 800 S Us Highway 131 Ste A, Three Rivers, MI 49093 | 2014-04-18 |
| 1184927865 | Autumn Brooke Walton | Counselor | 30 N. Main St., Three Rivers, MI 49093 | 2010-12-17 |
| 1972730877 | Peggy Cahue-kuipers | Counselor | 1020 Millard, Three Rivers, MI 49093 | 2009-06-18 |
| 1215101530 | Raelene Mckeon Kent | Pediatrics | 601 S. Us 131, Three Rivers, MI 49093 | 2008-04-17 |
| 1407043722 | Assisted Living Concepts Inc | Assisted Living Facility | 1215 Ne Elm Street, Three Rivers, MI 49093 | 2007-10-01 |
| 1205047552 | Judith Anderson | Psychologist | 131 Enterprise St, Three Rivers, MI 49093 | 2007-05-25 |
| 1619013240 | Michael Angelo Cucci | Dentist | 221 North Hooker Ave, Three Rivers, MI 49093 | 2007-01-30 |
| 1659421204 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 800 S Us 131, Three Rivers, MI 49093 | 2007-01-12 |
| 1679622401 | Gail Marjorie Woods | Dentist | 57175 North Main Street, Three Rivers, MI 49093 | 2007-01-10 |
| Find all providers in zip 49093 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | THREE RIVERS |
| Zip Code | 49093 |
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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.