LAKELAND MEDICAL PRACTICES (NPI# 1568911980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568911980 |
| Entity Type | Organization |
| Organization Name | LAKELAND MEDICAL PRACTICES |
| Other Organization Name | SOUTHWEST MEDICAL CLINIC BUCHANAN |
| Practice Address |
1045 E Front St Suite A Buchanan MI 49107-8474 |
| Practice Telephone | 2696955540 |
| Practice Fax Number | 2694285507 |
| Mailing Telephone | 2696955540 |
| Mailing Fax Number | 2694285507 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES) |
| Authorized Official Telephone | 2699838172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301093962 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1538397120 | 05 |
| Other Name | Type Code |
|---|---|
| Southwest Medical Clinic Buchanan | 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 |
1045 E FRONT ST SUITE A |
| City | BUCHANAN |
| State | MI |
| Zip Code | 49107-8474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538115233 | Cynthia Papendick Aprn Bc Inc | Registered Nurse | 1045 E Front St, Suite B2, Buchanan, MI 49107-8474 | 2006-05-25 |
| 1184176786 | Olivia Hemlock | Nurse Practitioner | 1045 E Front St, Buchanan, MI 49107-8474 | 2016-10-29 |
| 1003368713 | Southwest Vision Center Inc. | Optometrist | 1045 E Front St, Suite B4, Buchanan, MI 49107-8474 | 2016-10-28 |
| 1639520851 | Lakeland Medical Practice | Family Medicine | 1045 E Front St, Suite A, Buchanan, MI 49107-8474 | 2016-06-29 |
| 1457743486 | Audrey Lynn Carrier | Family Medicine | 1045 E Front St, Buchanan, MI 49107 | 2015-02-27 |
| 1558766188 | Julia Kostyuk | Nurse Practitioner | 1045 E Front St, Buchanan, MI 49107-8474 | 2014-10-24 |
| 1447530498 | Derek Allen Henderson | Physician Assistant | 1045 E Front St, Buchanan, MI 49107-8474 | 2011-08-23 |
| 1790932168 | Susan Jayne Smith | Physician Assistant | 1045 E Front St, Buchanan, MI 49107-8474 | 2008-08-27 |
| 1275687147 | Roy B Parke D.o. | Family Medicine | 1045 E Front St, Buchanan, MI 49107-8474 | 2007-01-22 |
| 1699885061 | Arlene Mae Saliba El Habre | Nurse Practitioner | 1045 E Front St, Buchanan, MI 49107-8474 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447453188 | Ronald C Carr | Dentist | 802 East Front St, Ste 5, Buchanan, MI 49107 | 2007-06-08 |
| 1669696464 | Barbara A Starke | Registered Nurse | 804 E Front Street, Buchanan, MI 49107 | 2007-04-12 |
| 1558338368 | Respiratory Home Care & Convalescent Supply Inc | Durable Medical Equipment & Medical Supplies | 320 N Redbud Trail, Buchanan, MI 49107 | 2006-03-01 |
| 1255827382 | Kari Mitchell-coplen | Physical Therapy Assistant | 500 E 3rd St, Buchanan, MI 49107 | 2018-07-01 |
| 1790294064 | Red Bud Health Services LLC | Physical Therapist | 500 E 3rd St, Buchanan, MI 49107 | 2017-09-29 |
| 1740801653 | Sharon M Bradley | Nursing Care | 324 N Detroit St, Buchanan, MI 49107-1204 | 2020-05-01 |
| 1235526260 | Into His Rest Ministries | Social Worker | 102 Elizabeth St, Buchanan, MI 49107-1327 | 2015-04-16 |
| 1851443956 | Drs Steven and Brenda Smoke Od PC | Optometrist | 400 E Front St, Suite A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1306998919 | Brenda Dani Smoke | Optometrist | 400 E Front St Ste A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1275984908 | Adam Urbanski | Optometrist | 400 E Front St, Ste A, Buchanan, MI 49107-1403 | 2016-06-23 |
| Find all providers in zip 49107 | ||||
| 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 |
|---|---|---|---|---|
| 1700990074 | Roy B Parke | Family Medicine | 257 E Front St, Buchanan, MI 49107-1407 | 2006-08-17 |
| 1114958550 | Colin W Elliott | Family Medicine | 802 1/2 East Front Street, Buchanan, MI 49107-1444 | 2006-07-05 |
| 1457313926 | Harold E Brown | Family Medicine | 804 E Front St, Buchanan, MI 49107-1444 | 2006-04-03 |
| 1508837741 | David H Johnson | Family Medicine | 18080 Main St, Buchanan, VA 24066-5482 | 2006-01-27 |
| 1639520851 | Lakeland Medical Practice | Family Medicine | 1045 E Front St, Suite A, Buchanan, MI 49107-8474 | 2016-06-29 |
| 1487036869 | Beacon Medical Group, Inc. | Family Medicine | 804 E Front St, Buchanan, MI 49107-1444 | 2015-06-23 |
| 1457743486 | Audrey Lynn Carrier | Family Medicine | 1045 E Front St, Buchanan, MI 49107 | 2015-02-27 |
| 1811282346 | Johannes D Engelbrecht | Family Medicine | 30 Buchanan Byp, Buchanan, GA 30113-4924 | 2011-06-13 |
| 1275687147 | Roy B Parke D.o. | Family Medicine | 1045 E Front St, Buchanan, MI 49107-8474 | 2007-01-22 |
| 1497781660 | Nilgun Camilla Frengell | Family Medicine | 1045 E Front St, Suite A, Buchanan, MI 49107-8474 | 2006-06-22 |
| Find all providers in BUCHANAN | ||||
Please comment or provide details below to improve the information on LAKELAND MEDICAL PRACTICES.
| 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.