LAKES AREA HEALTH SYSTEM (NPI# 1689150120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689150120 |
| Entity Type | Organization |
| Organization Name | LAKES AREA HEALTH SYSTEM |
| Other Organization Name | PAIN TREATMENT CENTERS OF NORTH AMERICA |
| Practice Address |
360 Sherman St Ste 400 Saint Paul MN 55102-2425 |
| Practice Telephone | 6512251102 |
| Practice Fax Number | 6129771208 |
| Mailing Telephone | 6512251102 |
| Mailing Fax Number | 6129771208 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | ABIGAIL M DERHEIM (FOUNDER/CEO) |
| Authorized Official Telephone | 6512251102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pain Treatment Centers of North America | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9401 James Ave S Ste 162, Bloomington, MN 554312549 | 6512251102 | 6129771208 |
| 967 Lake St S, Forest Lake, MN 550252616 | 6512251102 | 6129771208 |
| Street Address |
360 SHERMAN ST STE 400 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972980852 | Geriatric & Rehabilitation Consultants Ein | Specialist | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2015-04-30 |
| 1023594215 | Emily Jean Peterson | Chiropractor | 360 Sherman St Ste 400, Saint Paul, MN 55102 | 2018-07-11 |
| 1851887780 | Lakes Area Health Center, Pllc | Physical Therapist | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2018-07-03 |
| 1902392830 | Lakes Area Health Center, Pllc | General Practice | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2018-07-03 |
| 1255865267 | Lakes Area Health Center | Clinic/Center | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2017-04-17 |
| 1881057651 | James Bradley Dietz | Chiropractor | 360 Sherman St Ste 400, Saint Paul, MN 55102 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114247061 | The Doctors Medical Clinic, P.a. | Clinic/Center | 217 Como Ave, Suite 105, Saint Paul, MN 55103-1838 | 2010-06-02 |
| 1578583084 | Quality Care Clinic | Clinic/Center | 1076 West 7th Street, Quality Care Clinic, Saint Paul, MN 55102 | 2006-07-20 |
| 1770017345 | Lakes Area Health Center | Clinic/Center | 360 Sherman St Ste 300, Saint Paul, MN 55102-2566 | 2017-04-20 |
| 1255865267 | Lakes Area Health Center | Clinic/Center | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2017-04-17 |
| 1972919512 | Virtuwell Medical Services, P.C. | Clinic/Center | 178 9th St E, Suite 300, Saint Paul, MN 55101-2317 | 2014-07-03 |
| 1669792990 | Healthpartners, Inc. | Clinic/Center | 178 9th St E, Suite 300, Saint Paul, MN 55101-2317 | 2010-06-09 |
| 1194999151 | Carron L. Perry and Associates, P.a. | Clinic/Center | 1150 Montreal Ave, Suite 101, Saint Paul, MN 55116-2390 | 2008-04-21 |
| 1760541700 | Gillette Childrens Specialty Healthcare | Clinic/Center | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2006-12-06 |
| 1447352836 | Gillette Children's Specialty Healthcare | Clinic/Center | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-09-05 |
| 1376595033 | Pulmonary & Critical Care Associates, P.a. | Clinic/Center | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-05-17 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on LAKES AREA HEALTH SYSTEM.
| 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.