LAKELAND MEDICAL PRACTICES


Address: 9625 Red Arrow Hwy, Bridgman, MI 49106-9559
Phone: 2696840259

LAKELAND MEDICAL PRACTICES (NPI# 1255659744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255659744
Entity Type Organization
Organization Name LAKELAND MEDICAL PRACTICES
Other Organization Name SOUTHWESTERN MEDICAL CLINIC - BRIDGMAN
Practice Address 9625 Red Arrow Hwy
Bridgman
MI 49106-9559
Practice Telephone 2696840259
Practice Fax Number 2696840189
Mailing Telephone 2696840259
Mailing Fax Number 2696840189
Enumeration Date 2010-05-10
Last Update Date 2016-03-14
Authorized Official Name WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES)
Authorized Official Telephone 2699838304
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Southwestern Medical Clinic - Bridgman Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285270249 Lakeland Medical Practices Family Medicine 9045 Old Us 31, Suite A, Berrien Springs, MI 49103 2019-11-25
1407329261 Lakeland Medical Practices Preventive Medicine 2500 Niles Rd Ste 4, Saint Joseph, MI 49085-3225 2019-01-04
1396239562 Lakeland Medical Practices Family Medicine 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 2018-06-20
1679074470 Lakeland Medical Practices Clinic/Center 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 2018-02-27
1174038392 Lakeland Medical Practices Psychiatry & Neurology 3950 Hollywood Rd Ste 230, Saint Joseph, MI 49085-9158 2017-12-11
1972821460 Lakeland Medical Practices Clinic/Center 42 N. St. Joseph Ave., Suite 201, Niles, MI 49120-2208 2010-05-10
1902462682 Lakeland Medical Practices Family Medicine 3950 Hollywood Rd Ste 270, Saint Joseph, MI 49085-9158 2019-05-17
1710483110 Lakeland Medical Practices Clinic/Center 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 2018-04-04
1336657824 Lakeland Medical Practices Psychiatry & Neurology 6559 Paw Paw Ave, Coloma, MI 49038-8805 2018-01-18
1164961967 Lakeland Medical Practices Internal Medicine 61 N Saint Joseph Ave, Niles, MI 49120-2207 2017-02-14

Office Location

Street Address 9625 RED ARROW HWY
City BRIDGMAN
State MI
Zip Code 49106-9559

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285679365 Daniel L Hayward Internal Medicine 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2006-06-20
1205322534 Tanya Sobaski Nurse Practitioner 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2018-07-10
1962916023 Ann Martha Rahe Nurse Practitioner 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2017-11-28
1033509286 Pam J Klint Nurse Practitioner 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2015-01-27
1407260201 Tobin J Klint Nurse Practitioner 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2014-06-19
1669499257 Donald Wolfram Emergency Medicine 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2006-07-17
1275562696 James A Kroeze Family Medicine 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2006-06-30
1609805001 Mary E Good Physician Assistant 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2006-06-30
1265468862 Jonathan F Osburn Family Medicine 9625 Red Arrow Hwy, Bridgman, MI 49106-9559 2006-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992191993 Jenil Gandhi Internal Medicine 9999 Red Arrow Hwy, Bridgman, MI 49106 2015-04-07
1356670590 Kenneth Mays Family Medicine 4299 Lake Street, Bridgman, MI 49106 2009-12-17
1164623385 Dockerty Health Care Services Inc Assisted Living Facility 8850 Red Arrow Hwy, Bridgman, MI 49106 2007-05-29
1528278918 Michael Joseph Marcincuk Dentist Red Arrow Dentistry, 9500 Red Arrow Highway, Bridgman, MI 49106 2007-05-23
1356304059 Ryan E. Thomas, D.d.s. P.C. Dentist 9151 Red Arrow Hwy, Bridgman, MI 49106 2006-04-11
1316220106 Lynda Sparks Pharmacist 3681 Shawnee Rd, Rite Aid Pharmacy, Bridgman, MI 49106 2011-09-28
1497965040 Bridgman Psychological Services Psychologist 7889 Red Arrow Hwy, Bridgman, MI 49106 2007-05-23
1750696191 Latreasa Klann Doula 9547 Maplewood, Bridgman, MI 49106-0156 2010-08-10
1548487168 Bridgman Chiropractors. P.C. Chiropractor 9500 Red Arrow Hwy., Bridgman, MI 49106-0326 2007-04-18
1578786620 John H. Foti, P.C. Chiropractor 4270 Lake St., Box 489, Bridgman, MI 49106-0489 2007-04-10
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235730664 Edward W. Sparrow Hospital Association Clinic/Center 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 2020-11-03
1952909558 Quilted Rose Clinical Services, Pllc Clinic/Center 269 Walker St Ste 256, Detroit, MI 48207-4258 2020-10-15
1386250694 A Better Me Therapy, LLC Clinic/Center 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 2020-09-22
1275148165 Anasthesia Pain Service PC Clinic/Center 15350 Michigan Ave, Dearborn, MI 48126 2020-09-09
1659985042 Passion and Purpose Pediatrics Clinic/Center 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 2020-09-02
1710597745 Renew Child and Family Center Clinic/Center 383 Starkweather St, Plymouth, MI 48170-1382 2020-08-04
1467075358 Shear Pointe Inc Clinic/Center 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 2020-05-26
1992326466 New Healthcare PC Clinic/Center 911 Dix St Ste B, Otsego, MI 49078-1609 2020-05-06
1851920581 Emotional Wellness Group LLC Clinic/Center 11956 E Outer Dr, Detroit, MI 48224-2630 2020-04-04
1003445800 Dr. Chris Popp, PC Clinic/Center 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 2020-04-03
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Competitor

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City BRIDGMAN
Zip Code 49106

Improve Information

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Dataset Information

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.

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