LAKE MI ENT PLLC (NPI# 1457527723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457527723 |
| Entity Type | Organization |
| Organization Name | LAKE MI ENT PLLC |
| Practice Address |
1675 Leahy St Ste 201a Muskegon MI 49442-5542 |
| Practice Telephone | 2317224904 |
| Practice Fax Number | 2317224804 |
| Mailing Telephone | 2317224904 |
| Mailing Fax Number | 2317224804 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | LINDA RADTKE (BILLER) |
| Authorized Official Telephone | 2317224904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332S00000X | Hearing Aid Equipment | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 904711539 | 05 |
| Street Address |
1675 LEAHY ST STE 201A |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445571 | Gary L Doublestein | Obstetrics & Gynecology | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2006-04-11 |
| 1710540661 | Megan Marie Glazier | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2019-04-17 |
| 1114488954 | Elizabeth Morgan Johnsen | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2019-03-26 |
| 1104311604 | Peyton Paul Faganel | Internal Medicine | 1675 Leahy St Ste 201a, Muskegon, MI 49442 | 2018-06-27 |
| 1073008017 | Chantal Yousif | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2018-06-22 |
| 1558855544 | Bryn Joelle Pape | Internal Medicine | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2018-06-21 |
| 1780177394 | Aaron Mitchell Sabal | Internal Medicine | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2018-06-08 |
| 1568959609 | Jon Michael Carnahan | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2018-04-14 |
| 1194136556 | Gregory Allan Holton Jr. | Internal Medicine | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2014-05-19 |
| 1164862033 | Katherine E Betcher | Obstetrics & Gynecology | 1675 Leahy St Ste 201a, Muskegon, MI 49442-5542 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457502189 | Grand Hearing Centers, LLC | Hearing Aid Equipment | 5500 Harvey Street, Muskegon, MI 49444 | 2008-09-30 |
| 1962431502 | Williams Hearing | Hearing Aid Equipment | 3308 Glade St, Muskegon, MI 49444-2708 | 2006-07-03 |
| 1275787129 | Hear Michigan Inc | Hearing Aid Equipment | 427 Seminole Rd, Suite 101, Muskegon, MI 49444-3747 | 2008-11-05 |
| 1417121534 | Jacob James Degraaf | Hearing Aid Equipment | 3308 Glade St, Muskegon, MI 49444-2708 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235629262 | Northland Hearing Center Inc | Hearing Aid Equipment | 600 W Michigan Ave, Saline, MI 48176-7600 | 2018-05-15 |
| 1942663125 | Oswald Hearing Aid Services LLC | Hearing Aid Equipment | 398 S Main St, Ste 1a, Freeland, MI 48623-8899 | 2016-04-04 |
| 1942667316 | Professional Hearing Inc | Hearing Aid Equipment | 1235 S Center Rd Ste 7, Burton, MI 48509-1700 | 2016-01-15 |
| 1598133456 | Suburban Hearing Clinic, Inc. | Hearing Aid Equipment | 20 W Clarkston Rd, Lake Orion, MI 48362-2972 | 2015-09-09 |
| 1699173187 | St Clair Shores Hearing Center | Hearing Aid Equipment | 30128 Harper Ave, Ste 1a, Saint Clair Shores, MI 48082-1662 | 2014-12-15 |
| 1891191813 | Waterford Hearing Center, LLC | Hearing Aid Equipment | 5907 Dixie Hwy, Clarkston, MI 48346-3361 | 2014-11-18 |
| 1609272624 | Dearborn Hearing Center, LLC. | Hearing Aid Equipment | 5003 Schaefer Rd, Dearborn, MI 48126-3252 | 2014-11-18 |
| 1154723211 | Premier Solutions, Inc. | Hearing Aid Equipment | 21477 21 Mile Rd, Macomb, MI 48044-2963 | 2014-09-20 |
| 1972905032 | Premier Solutions, Inc. | Hearing Aid Equipment | 35736 Van Dyke Ave, Sterling Heights, MI 48312-3564 | 2014-09-20 |
| 1114345428 | Regents of The University of Michigan | Hearing Aid Equipment | 475 Marketplace, Ann Arbor, MI 48108 | 2014-04-03 |
| 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.