SYLVAN LAKE FAMILY PRACTICE PLC (NPI# 1699880989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699880989 |
| Entity Type | Organization |
| Organization Name | SYLVAN LAKE FAMILY PRACTICE PLC |
| Other Organization Name | SYLVAN LAKE FAMILY PRACTICE PLC |
| Practice Address |
2111 Orchard Lake Rd Sylvan Lake MI 48320-1785 |
| Mailing Address |
Po Box 673423 Detroit MI 48267-0001 |
| Practice Telephone | 2484511092 |
| Practice Fax Number | 2484511096 |
| Mailing Telephone | 2484511092 |
| Mailing Fax Number | 2484611096 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | PRAKASH SANGHVI (OWNER) |
| Authorized Official Telephone | 2484511092 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | PS066270 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4743597 | 05 | |
| MI | UPIN | G73042 | 01 |
| MI | BCBS | 0806348761 | 01 |
| MI | ID NPI | 1730136961 | 01 |
| Other Name | Type Code |
|---|---|
| SYLVAN LAKE FAMILY PRACTICE PLC | Doing Business As Name - Organization |
| Street Address |
2111 ORCHARD LAKE RD |
| City | SYLVAN LAKE |
| State | MI |
| Zip Code | 48320-1785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730136961 | Prakash N Sanghvi | Family Medicine | 2111 Orchard Lake Rd, Sylvan Lake, MI 48320-1785 | 2006-05-31 |
| 1710371166 | Deaf Community Advocacy Network, Inc. | Case Management | 2111 Orchard Lake Rd, Suite 101, Sylvan Lake, MI 48320-1785 | 2015-03-24 |
| 1043439219 | Kirti Prakash Sanghvi | Family Medicine | 2111 Orchard Lake Rd, Sylvan Lake, MI 48320-1785 | 2007-04-25 |
| 1285788463 | Ashok Gupta | Internal Medicine | 2111 Orchard Lake Rd, Sylvan Lake, MI 48320-1785 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301158 | Suhila Cassini | Counselor | 3297 Orchard Lake Rd, Ste 107, Keego Harbor, MI 48320 | 2020-06-22 |
| 1619042777 | Julius James Sonkiss | Dentist | 3467 Orchard Lake Road, Keego Harbor, MI 48320 | 2006-11-22 |
| 1083612840 | Mohammad Nurul Amin | Family Medicine | 2157 Orchard Lake Drive, Sylvan Lake, MI 48320 | 2005-07-14 |
| 1669850830 | Kathryn Fawcett | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2015-05-08 |
| 1487843348 | Mariola Beata Vanderest | Physical Therapist | 2141 Cass Lake Rd, Suite 107, Keego Harbor, MI 48320 | 2007-10-17 |
| 1396941332 | Issam S Asad | General Practice | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-06-26 |
| 1205050994 | Ahmad M Hadied | Orthopaedic Surgery | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1427272608 | Robert Bahman Khodadadeh | Dentist | 3435 Orchard Lake Rd, Keego Harbor, MI 48320 | 2007-04-12 |
| 1447336128 | Mark I Rosenberg Dds PC | Dentist | 2819 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-10-27 |
| 1609887769 | Lydia Geraldine Vitale-loeschner | Physical Therapist | 2700 Orchard Lake Rd, Keego Harbor, MI 48320 | 2006-08-11 |
| Find all providers in zip 48320 | ||||
| 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 |
|---|---|---|---|---|
| 1730136961 | Prakash N Sanghvi | Family Medicine | 2111 Orchard Lake Rd, Sylvan Lake, MI 48320-1785 | 2006-05-31 |
| 1083612840 | Mohammad Nurul Amin | Family Medicine | 2157 Orchard Lake Drive, Sylvan Lake, MI 48320 | 2005-07-14 |
| 1043439219 | Kirti Prakash Sanghvi | Family Medicine | 2111 Orchard Lake Rd, Sylvan Lake, MI 48320-1785 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | SYLVAN LAKE |
| Zip Code | 48320 |
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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.