LAKELAND MEDICAL PRACTICES (NPI# 1801116785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801116785 |
| Entity Type | Organization |
| Organization Name | LAKELAND MEDICAL PRACTICES |
| Other Organization Name | LAKELAND FAMILY MEDICINE |
| Practice Address |
4 Longmeadow Village Dr Niles MI 49120-7809 |
| Practice Telephone | 2696846000 |
| Practice Fax Number | 2696841388 |
| Mailing Telephone | 2696846000 |
| Mailing Fax Number | 2696841388 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | WARREN WHITE (VICE PRESIDENT PHYSICIAN PRACTICES) |
| Authorized Official Telephone | 2699838304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1538397120 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeland Family Medicine | 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 |
4 LONGMEADOW VILLAGE DR |
| City | NILES |
| State | MI |
| Zip Code | 49120-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427045392 | Prakash Taujale Shrestha | Family Medicine | 4 Longmeadow Village Dr, Niles, MI 49120 | 2005-10-05 |
| 1700248952 | Ryan Fuchs | Family Medicine | 4 Longmeadow Village Dr, Niles, MI 49120-7809 | 2016-03-27 |
| 1982041620 | Raul Hector Torres IIi | Family Medicine | 4 Longmeadow Village Dr, Niles, MI 49120-7809 | 2013-06-03 |
| 1629397534 | Lakeland Medical Practices | Clinic/Center | 4 Longmeadow Village Dr, Niles, MI 49120-7809 | 2010-05-18 |
| 1205090065 | John W. Howard | Family Medicine | 4 Longmeadow Village Dr, Niles, MI 49120-7809 | 2008-07-10 |
| 1649432980 | Lakeland Family Care of Niles | Family Medicine | 4 Longmeadow Village Dr, Suite 2, Niles, MI 49120-7809 | 2008-06-27 |
| 1487775847 | Tracy J Tacket | Family Medicine | 4 Longmeadow Village Dr, Niles, MI 49120-7809 | 2007-04-03 |
| 1003981176 | Rosa Lee Johnson | Family Medicine | 4 Longmeadow Village Dr, Niles, MI 49120-7809 | 2006-11-22 |
| 1235102823 | Ellen Tambunan | Family Medicine | 4 Longmeadow Village Dr, Niles, MI 49120-7809 | 2006-02-13 |
| 1790764868 | Douglas Gregory Tacket | Family Medicine | 4 Longmeadow Village Dr, Niles, MI 49120-7809 | 2006-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972821460 | Lakeland Medical Practices | Clinic/Center | 42 N. St. Joseph Ave., Suite 201, Niles, MI 49120-2208 | 2010-05-10 |
| 1356514434 | Cornelia V. Tandez, M.d.,ltd | Clinic/Center | 8248 W Ballard Rd, Niles, IL 60714-1544 | 2008-04-09 |
| 1154960300 | Indpendence At Home Pllc | Clinic/Center | 541 Union St, Niles, MI 49120-1536 | 2020-01-04 |
| 1831463728 | Greater Niles Chiropractic Health Center Incorporated | Clinic/Center | 2407 Yankee St, Niles, MI 49120-3955 | 2012-02-24 |
| 1376863407 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120-2208 | 2010-06-11 |
| 1700106689 | Lakeland Medical Practice | Clinic/Center | 6 Longmeadow Village Dr, Suite1, Niles, MI 49120-7810 | 2010-06-02 |
| 1104145002 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2208 | 2010-05-18 |
| 1033438932 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 300, Niles, MI 49120-2203 | 2010-05-18 |
| 1629397534 | Lakeland Medical Practices | Clinic/Center | 4 Longmeadow Village Dr, Niles, MI 49120-7809 | 2010-05-18 |
| 1043469372 | Niles Medical S.c. | Clinic/Center | 7157 W Howard St, Niles, IL 60714-3757 | 2008-09-10 |
| Find all providers in NILES | ||||
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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.