DR. SAMUEL J LACINA


Address: 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503
Phone: 6162679150

DR. SAMUEL J LACINA (NPI# 1811091168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811091168
Entity Type Individual
Full Name DR. SAMUEL J LACINA
Credential MD
Practice Address 25 Michigan St Ne
Suite 4300
Grand Rapids
MI 49503
Mailing Address 100 Michigan St Ne
Mc 845
Grand Rapids
MI 49503-2560
Practice Telephone 6162679150
Practice Fax Number 6162671408
Enumeration Date 2006-09-08
Last Update Date 2019-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
4301036489 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 25 MICHIGAN ST NE
SUITE 4300
City GRAND RAPIDS
State MI
Zip Code 49503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639175342 Stephen Christopher Cook Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2005-06-27
1407412539 Aneta Toma Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2019-05-14
1033673363 Kara Vanderkallen Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2019-01-31
1902391964 Carmen Kagha Family Medicine 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-06-22
1700394301 Daniel Jacob Elliott Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-17
1629585997 Dylan Lee Kosaski Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-08
1073020343 Rachel Pavona Pharmacy Technician 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-08
1154842193 Asaf Harris Internal Medicine 25 Michigan St Ne, Suite 2100, Grand Rapids, MI 49503-2526 2017-06-29
1811439763 Danielle Susan Douglass Physician Assistant 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 2016-11-09
1457803751 Anina L Cicerone-carder Physician Assistant 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 2016-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013903947 Linda Barbara Pauliks Pediatrics 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 2005-09-26
1639175342 Stephen Christopher Cook Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2005-06-27
1245572007 Pennant Physician Services Pediatrics 555 Midtowne St Ne, Suite 310, Grand Rapids, MI 49503-5729 2013-03-20
1467734442 Emy Mary Kuriakose Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2011-09-15
1306163092 Stanley Charles Sedore Pediatrics 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 2010-04-21
1700036274 Heather Aileen Sowinski Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2008-09-22
1700058492 Michigan Medical Patient Care Pediatrics 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 2008-04-02
1861587602 Kim J. Lee Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2006-10-04
1447345285 Michael S Florentine Pediatrics 100 Michigan St Ne, 10th Floor, Grand Rapids, MI 49503-2560 2006-10-04
1366537177 Jeffrey R Schneider Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2006-10-04
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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