LAKEWOOD HEALTH CENTER (NPI# 1508914995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508914995 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD HEALTH CENTER |
| Practice Address |
1855 Jonesboro Road Se Atlanta GA 30315 |
| Mailing Address |
99 Jesse Hill Jr Drive Rm 402 Atlanta GA 30303 |
| Practice Telephone | 4046240626 |
| Practice Fax Number | 4046240636 |
| Mailing Telephone | 4047301217 |
| Mailing Fax Number | 4047301233 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN R KATKOWSKY (HEALTH DIRECTOR) |
| Authorized Official Telephone | 4047301202 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 0000518843 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548524648 | Lakewood Health Center | Assisted Living Facility | 600 Main Ave S, Baudette, MN 56623-2855 | 2012-07-03 |
| 1659511335 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2009-02-20 |
| 1972799237 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2007-09-20 |
| 1487713509 | Lakewood Health Center | Public Health or Welfare | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-12-06 |
| 1538245386 | Lakewood Health Center | Nursing Facility/Intermediate Care Facility | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-10-27 |
| 1104850924 | Lakewood Health Center | Hospice Care, Community Based | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-07-10 |
| 1699707216 | Lakewood Health Center | Home Health | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-07-06 |
| 1346215084 | Lakewood Health Center | Medicare Defined Swing Bed Unit | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-02-17 |
| 1922072776 | Lakewood Health Center | General Acute Care Hospital | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-02-16 |
| Street Address |
1855 JONESBORO ROAD SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1235469875 | Hiv/aids Empowerment Resource Center for Young Women, Inc. | Public Health or Welfare | 230 Peachtree St Nw Ste 1800, Atlanta, GA 30303-1514 | 2010-01-04 |
| 1245377605 | Neighborhood Union Health Center | Public Health or Welfare | 186 Sunset Avenue Nw, Atlanta, GA 30314 | 2007-02-01 |
| 1255477485 | Dunbar Teen Center | Public Health or Welfare | 477 Windsor St Sw, Atlanta, GA 30312-2530 | 2007-01-29 |
| 1043356280 | South Fulton Health Center | Public Health or Welfare | 1225 Capitol Avenue, Se, Atlanta, GA 30315 | 2007-01-29 |
| 1922144161 | Center Hill Health Center | Public Health or Welfare | 3201 Atlanta Industrial Pkwy Nw, Atlanta, GA 30331-1045 | 2007-01-29 |
| 1639225402 | Sandy Springs Health Center | Public Health or Welfare | 330 Johnson Ferry Rd Ne, Atlanta, GA 30328-4128 | 2007-01-26 |
| 1528116993 | Aldredge Health Center | Public Health or Welfare | 99 Jesse Hill Jr Drive Rm 402, Atlanta, GA 30303 | 2007-01-08 |
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 1194273896 | Fulton County Health Department | Public Health or Welfare | 99 Jesse Hill Jr Dr Se, Suite 402, Atlanta, GA 30303-3030 | 2016-09-12 |
| Find all providers in ATLANTA | ||||
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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.