LAKELAND MEDICAL PRACRICES (NPI# 1518378561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518378561 |
| Entity Type | Organization |
| Organization Name | LAKELAND MEDICAL PRACRICES |
| Other Organization Name | LAKELAND NEUROSURGERY |
| Practice Address |
1234 Napier Ave Saint Joseph MI 49085-2112 |
| Practice Telephone | 2695561990 |
| Practice Fax Number | 2695561996 |
| Mailing Telephone | 2695561990 |
| Mailing Fax Number | 2695561996 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |
| Authorized Official Name | WARREN WHITE (VICE PRESIDENT) |
| Authorized Official Telephone | 2699838127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lakeland Neurosurgery | Doing Business As Name - Organization |
| Street Address |
1234 NAPIER AVE |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282456 | Ewanah D Johnson | Internal Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2005-08-19 |
| 1497355010 | Suzanne Arlene Arendt | Registered Nurse | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-11-01 |
| 1053918748 | Katlyn Slowik | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-10-06 |
| 1578175261 | Megan Elizabeth Schluentz | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-08-23 |
| 1538779954 | Priscilla Kennedy | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-08-01 |
| 1700494226 | Sara Saliba | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-21 |
| 1730797101 | Spandana Alla | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-21 |
| 1013525047 | Sunny Patel | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-15 |
| 1205454402 | Alexis Kristina Welsh | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-14 |
| 1639797020 | Yamann Sahlool | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891080503 | Olatilewa O Awe | Neurological Surgery | 802 N Riverside Rd Ste 150, Saint Joseph, MO 64507-2508 | 2011-06-10 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1164712600 | Rafeek Olson Woods | Neurological Surgery | 3950 Hollywood Rd Ste 210, Saint Joseph, MI 49085-9158 | 2011-04-18 |
| 1568494771 | John P Olson | Neurological Surgery | 802 N Riverside Rd, Suite 150, Saint Joseph, MO 64507-9794 | 2006-07-07 |
| 1609845940 | Dennis C Szymanski | Neurological Surgery | 3950 Hollywood Rd, Suite 210, Saint Joseph, MI 49085-9159 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026205 | Clark J Okulski | Neurological Surgery | 15366 Windmill Pointe Dr, Grosse Pointe Park, MI 48230-1744 | 2020-02-25 |
| 1801371380 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 502 W Harrie St Fl 2, Newberry, MI 49868-1209 | 2018-10-01 |
| 1750871745 | Sara Saleh | Neurological Surgery | 1500 E Medical Center Dr Spc 5338, Ann Arbor, MI 48109-5338 | 2018-05-15 |
| 1639608664 | Aaron Rapp | Neurological Surgery | 3601 W 13 Mile Rd Dept, Gme Dept. Neurosurgery, Royal Oak, MI 48073-6712 | 2017-06-04 |
| 1386171775 | Inscribed Pllc | Neurological Surgery | 30400 Telegraph Rd Ste 350, Bingham Farms, MI 48025-5814 | 2017-05-16 |
| 1972956597 | University Neurosurgical Associates, PC | Neurological Surgery | 42450 Hayes Rd, Ste 100, Clinton Twp, MI 48038-6769 | 2016-07-19 |
| 1134579451 | Chad Claus | Neurological Surgery | 21080 Birchwood St, Farmington, MI 48336-5006 | 2016-06-17 |
| 1629451901 | Dejan Slavnic | Neurological Surgery | 42758 Georgetown, Novi, MI 48375-1766 | 2015-07-03 |
| 1467842955 | Institute of General and Endovascular Neurosurgery | Neurological Surgery | 1295 S. Linden Road, Suite A, Flint, MI 48532 | 2015-02-04 |
| 1437566783 | Dali Yin | Neurological Surgery | 4800 S Saginaw St Ste 1800, Flint, MI 48507 | 2014-07-18 |
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| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.