LAKEWOOD HEALTHCARE CENTER (NPI# 1295910891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295910891 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD HEALTHCARE CENTER |
| Practice Address |
1400 Mercantile Ln Ste 180 Largo MD 20774-5369 |
| Practice Telephone | 3019257002 |
| Practice Fax Number | 3019254463 |
| Mailing Telephone | 3019257002 |
| Mailing Fax Number | 3019254463 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | MRS. MONISOLA ADEYEMO (NP) |
| Authorized Official Telephone | 3019257022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKEWOOD HEALTHCARE CENTER | 12023 S Lakewood Blvd, Downey, CA 90242-2635 |
| Street Address |
1400 MERCANTILE LN STE 180 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821167149 | Akinlawon Olugbenga Ayeni | Legal Medicine | 1400 Mercantile Ln Ste 180, Largo, MD 20774-5369 | 2006-11-08 |
| 1255962510 | Adetola O Oyekan | Nurse Practitioner | 1400 Mercantile Ln Ste 180, Largo, MD 20774-5369 | 2020-01-27 |
| 1366651598 | Darmon Medical Services | Clinic/Center | 1400 Mercantile Ln Ste 180, Largo, MD 20774-5369 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1588998488 | Village Family Practice | Family Medicine | 8250 Bryan Dairy Rd Ste 300, Largo, FL 33777-1356 | 2009-09-24 |
| 1255569943 | Zozan Al Saadi | Family Medicine | 7050 Ulmerton Rd, Largo, FL 33771 | 2009-07-01 |
| 1063665867 | East Bay Family Practice LLC | Family Medicine | 3387 3391 Easy Bay Drive, Largo, FL 33771 | 2008-10-24 |
| 1841470952 | Gabriel A Decandido Pa | Family Medicine | 8005 Ulmerton Rd, Largo, FL 33771-3971 | 2007-11-06 |
| 1255530382 | Jaimie Louise Mickey | Family Medicine | 13117 66th St, Largo, FL 33773-1812 | 2007-07-18 |
| 1881801140 | Moneer M. Mansour,md.pa | Family Medicine | 8787 Bryan Dairy Rd Ste 330, Largo, FL 33777-1260 | 2007-05-17 |
| 1194858969 | Snyder Family Medicine Pa | Family Medicine | 1042 Belcher Rd S, Largo, FL 33771-3316 | 2007-03-13 |
| 1801926001 | Kirsten Lea Cooper | Family Medicine | 13220 Starkey Rd Ste 500, Largo, FL 33773-1446 | 2007-03-06 |
| 1467515221 | Sun Coast Hospital Inc | Family Medicine | 1559 Indian Rocks Rd S, Largo, FL 33770-4542 | 2006-12-19 |
| Find all providers in LARGO | ||||
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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.