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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Southwestern Medical Clinic - Bridgman | Doing Business As Name - Organization |
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 |
Street Address |
9625 RED ARROW HWY |
City | BRIDGMAN |
State | MI |
Zip Code | 49106-9559 |
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 |
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 |
Find all providers in zip 49106 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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 |
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.