LAKOTA MEDICAL, LLC (NPI# 1730192097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730192097 |
| Entity Type | Organization |
| Organization Name | LAKOTA MEDICAL, LLC |
| Practice Address |
1755 S Erie Hwy Ste A Hamilton OH 45011-4145 |
| Mailing Address |
2466 Tennyson Dr Bellbrook OH 45305-1744 |
| Practice Telephone | 5138938000 |
| Practice Fax Number | 5138938200 |
| Mailing Telephone | 5138938000 |
| Mailing Fax Number | 9378489106 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-08-10 |
| Authorized Official Name | WILLIAM D MILES (PRESIDENT) |
| Authorized Official Telephone | 5138938000 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
34-004296 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BC BS | 000000364512 | 01 |
| Street Address |
1755 S ERIE HWY STE A |
| City | HAMILTON |
| State | OH |
| Zip Code | 45011-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811307820 | Brian R. Nobbs, D.c. Inc. | Clinic/Center | 1755 S Erie Hwy Ste A, Hamilton, OH 45011-4145 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841622453 | Pavli Samir Demian | Physical Medicine & Rehabilitation | 2271 Highway 33 Ste 103, Hamilton, NJ 08690-1749 | 2013-08-06 |
| 1548639339 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 3535 Quakerbridge Rd, Suite 200, Hamilton, NJ 08619-1200 | 2015-09-22 |
| 1679811723 | The Back Rehab Institute | Physical Medicine & Rehabilitation | 1245 Whitehorse Mercerville Rd, Suite 424, Hamilton, NJ 08619-3831 | 2013-01-24 |
| 1265619928 | Nj Spine and Pain Center Inc | Physical Medicine & Rehabilitation | 2111 Klockner Rd, Hamilton, NJ 08690-3403 | 2008-01-24 |
| 1467520692 | Robert A Carabelli | Physical Medicine & Rehabilitation | 1225 Whitehorse Mercerville Rd, Suite 202, Hamilton, NJ 08619-3882 | 2006-12-04 |
| 1588680359 | Rikin J. Patel | Physical Medicine & Rehabilitation | 2501 Kuser Rd Ste 3, Hamilton, NJ 08691 | 2006-07-14 |
| 1639149149 | Aurora S. Payawal Dela Rosa | Physical Medicine & Rehabilitation | 1245 Whitehorse Mercerville Rd, Suite 401, Hamilton, NJ 08619-3831 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287936 | Novus Pain Management - Ohio LLC | Physical Medicine & Rehabilitation | 100 N Main St Ste 350, Chagrin Falls, OH 44022-2773 | 2019-10-25 |
| 1396218558 | Health Intrinsic Technology LLC | Physical Medicine & Rehabilitation | 41 Brookline Ave, Youngstown, OH 44505-2530 | 2019-01-09 |
| 1760884399 | Patrick T Boylan Md Inc | Physical Medicine & Rehabilitation | 9485 Mentor Ave Ste 203, Mentor, OH 44060-8723 | 2014-09-26 |
| 1750513867 | Comprehensive Pain Management & Electrodiagnostics, LLC | Physical Medicine & Rehabilitation | 80 N Portage Path, #ph7, Akron, OH 44303-1144 | 2009-08-23 |
| 1962654731 | James Edgar Lundeen Sr. | Physical Medicine & Rehabilitation | 26 Sandusky St, Plymouth, OH 44865-1113 | 2008-10-10 |
| 1679777528 | Kush Kumar Goyal | Physical Medicine & Rehabilitation | 1730 W 25th St # 2c, Center for Spine Health- Lutheran Hospital, Cleveland, OH 44113-3108 | 2007-06-13 |
| 1841316163 | University Primary Care Practices Inc | Physical Medicine & Rehabilitation | 50 Blaine Ave Ste 2300, Bedford, OH 44146-2709 | 2007-03-21 |
| 1467594986 | Tarulata M Patel | Physical Medicine & Rehabilitation | 50 Normandy Drive Suite #3, Liberty Medical Center, Painesville, OH 44077 | 2007-02-12 |
| 1184766602 | Maheshkumar P. Patel | Physical Medicine & Rehabilitation | 26250 Euclid Avenue, Suite 625, Euclid, OH 44132 | 2007-02-12 |
| 1205985967 | Southwest General Medical Group, Inc | Physical Medicine & Rehabilitation | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKOTA MEDICAL, LLC.
| 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.