LAKE CITY PRIMARY CARE PC (NPI# 1952896151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952896151 |
| Entity Type | Organization |
| Organization Name | LAKE CITY PRIMARY CARE PC |
| Practice Address |
1866 S Morey Rd Lake City MI 49651 |
| Mailing Address |
1866 S Morey Rd Lake City MI 49651-9190 |
| Practice Telephone | 2318307282 |
| Practice Fax Number | 2318307222 |
| Mailing Telephone | 2318307282 |
| Mailing Fax Number | 2318307222 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | MR. CHRIS DONZELL (OWNER) |
| Authorized Official Telephone | 2318760952 |
| 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 |
Ambulatory Health Care Facilities |
| Street Address |
1866 S MOREY RD |
| City | LAKE CITY |
| State | MI |
| Zip Code | 49651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598775850 | Gregory Lambourne | Internal Medicine | 1866 S Morey Rd, Lake City, MI 49651-9190 | 2006-08-09 |
| 1336626431 | Gina M Johnson | Nurse Practitioner | 1866 S Morey Rd, Lake City, MI 49651-9190 | 2018-07-23 |
| 1780932137 | Christopher Michael Donzell | Nurse Practitioner | 1866 S Morey Rd, Lake City, MI 49651-9190 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463312 | Andrea Huxtable | Student in an Organized Health Care Education/Training Program | 1800-200 S Sweetbriar Ave, Lake City, MI 49651 | 2020-03-26 |
| 1316482300 | Suzanne Smith | Massage Therapist | 102 B S. Main St, Lake City, MI 49651 | 2016-12-29 |
| 1184960734 | Shanel Lynette Seger | Occupational Therapy Assistant | 1900 S Lachance Road, Lake City, MI 49651 | 2012-12-28 |
| 1265705347 | David Robert Kramp | Physical Therapist | 1900 South Lachance Rd, Lake City, MI 49651 | 2012-02-20 |
| 1396072708 | Footprints In Time | Voluntary or Charitable | 805 Mitchell St., Lake City, MI 49651 | 2009-11-05 |
| 1184895336 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1960 South Morey Road, Lake City, MI 49651 | 2008-03-17 |
| 1396965752 | Chris Klein Otr Plc | Occupational Therapist | 805 Mitchell St, Lake City, MI 49651 | 2007-04-26 |
| 1033253133 | John Street Clinic PC | Pediatrics | 112 E John St, Lake City, MI 49651 | 2007-02-20 |
| 1659435287 | Michael Francis Lahey | Dentist | 301 N Main, Lake City, MI 49651 | 2006-12-20 |
| 1215019781 | Christine Louise Klein | Occupational Therapist | 805 Mitchell, Lake City, MI 49651 | 2006-10-20 |
| Find all providers in zip 49651 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
| 1992732432 | Graham Clinic Inc. | Clinic/Center | 1278 Moore St, Lake City, SC 29560-4601 | 2006-06-28 |
| 1962641498 | Baya Bariatrics Urgent Care | Clinic/Center | 373 Se Country Club Rd, Lake City, FL 32025-4987 | 2009-02-06 |
| 1285822981 | Internal Medicine of Lake City Pa | Clinic/Center | 289 Sw Stonegate Ter, Suite 104, Lake City, FL 32024-3456 | 2007-10-09 |
| 1114149234 | Ernest De Leon, Md, Pa | Clinic/Center | 4225 Nw American Ln, Lake City, FL 32055-4881 | 2007-05-02 |
| 1164463659 | Mayo Clinic Health System-lake City | Clinic/Center | 500 W Grant St, Lake City, MN 55041-1143 | 2006-06-08 |
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| 1760013262 | Tranquility Wellness Center | Clinic/Center | 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 | 2020-02-03 |
| 1588295463 | Scheurer Hospital | Clinic/Center | 100 Pigeon Rd Ste C, Bad Axe, MI 48413-8169 | 2020-01-30 |
| 1639718539 | Scheurer Hospital | Clinic/Center | 75 Buschlen Rd, Bad Axe, MI 48413 | 2019-12-26 |
| 1780235465 | Careatc | Clinic/Center | 2221 Health Dr Sw Ste 1500, Grand Rapids, MI 49519-9681 | 2019-09-24 |
| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
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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.