DR. RHETT BERTON LAKIN (NPI# 1639345242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639345242 |
| Entity Type | Individual |
| Full Name | DR. RHETT BERTON LAKIN |
| Credential | DPM |
| Practice Address |
3231 S National Ave Ste 160 Springfield MO 65807-7304 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178886708 |
| Practice Fax Number | 4178904143 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2012-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2009019124 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MCR | P00964795 | 01 |
| MO | TRICARE | 431560263 | 01 |
| AR | 187715717 | 05 | |
| MO | 1639345242 | 05 |
| Street Address |
3231 S NATIONAL AVE STE 160 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999386 | Geoffery Lynn Stanczyk | Obstetrics & Gynecology | 3231 S National Ave, Suite 250, Springfield, MO 65807-7304 | 2005-08-12 |
| 1659819274 | Melanie Marsh | Nurse Practitioner | 3231 S National Ave, Ste 240, Springfield, MO 65807-7304 | 2017-02-02 |
| 1336521798 | Wendy L. Robinson | Nurse Practitioner | 3231 S National Ave, Suite 115, Springfield, MO 65807-7304 | 2015-06-22 |
| 1134501695 | Carla K. Athen | Nurse Practitioner | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2015-06-22 |
| 1306241518 | Dawn L. Webb | Registered Nurse | 3231 S National Ave, Suite 425, Springfield, MO 65807-7304 | 2014-10-30 |
| 1417397472 | Kanya L Ahuja | Pediatrics | 3231 S National Ave, Ste 100, Springfield, MO 65807-7304 | 2013-07-04 |
| 1386986545 | Bennett Adam Bolyard | Internal Medicine | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2013-03-25 |
| 1962741918 | Vanessa L. Montileone | Registered Nurse | 3231 S National Ave, Suite 430, Springfield, MO 65807-7304 | 2013-02-12 |
| 1801133343 | Stephanie Kirsten Voorhis | Nurse Practitioner | 3231 S National Ave, Ste 140, Springfield, MO 65807-7304 | 2013-01-03 |
| 1679824395 | Ashley N. Duey | Nurse Practitioner | 3231 S National Ave, Springfield, MO 65807-7304 | 2012-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497152474 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2207 Olympic Ave., Springfield, OH 45503-2725 | 2014-11-19 |
| 1194091629 | Foot & Ankle Associates of Central Il LLC | Podiatrist | 1603 West Washington, Springfield, IL 62702-4794 | 2012-03-29 |
| 1174823314 | Community Medical Specialists | Podiatrist | 2207 Olympic Ave, Springfield, OH 45503-2725 | 2010-10-21 |
| 1760697213 | Jason Perry Galante | Podiatrist | 500 Morris Ave Ste 203, Springfield, NJ 07081-1020 | 2007-05-10 |
| 1174672869 | Peter Crickellas | Podiatrist | 24 Lyons Pl, Springfield, NJ 07081-1604 | 2007-01-10 |
| 1992872998 | Essex Union Podiatry LLP | Podiatrist | 500 Morris Avenue, Suite 203, Springfield, NJ 07081-1156 | 2006-11-29 |
| 1053491837 | David E Samuel | Podiatrist | 196 W Sproul Rd Ste 107, Springfield, PA 19064-2045 | 2006-10-16 |
| 1285661249 | Stephen J Longobardi | Podiatrist | 100 Morris Ave Ste 304, Springfield, NJ 07081-1423 | 2006-06-27 |
| 1487691747 | Donald Pierre Lemelle | Podiatrist | 415 W Harding Rd, Springfield, OH 45504-1706 | 2006-06-02 |
| 1255306676 | David Plotkin | Podiatrist | 619 Morris Ave, Springfield, NJ 07081-1511 | 2006-02-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on DR. RHETT BERTON LAKIN.
| 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.