LAKESHORE UNITED LLC (NPI# 1902446495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902446495 |
| Entity Type | Organization |
| Organization Name | LAKESHORE UNITED LLC |
| Practice Address |
4765 S Lakeshore Dr Tempe AZ 85282-7197 |
| Mailing Address |
Po Box 11180 Tempe AZ 85284-0020 |
| Practice Telephone | 4806463258 |
| Mailing Telephone | 4806463258 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | JEREMY BUCKNER (SOLE MEMBER) |
| Authorized Official Telephone | 6024212730 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
4765 S LAKESHORE DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-7197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1164043204 | Orthopaedic Regenerative Medicine, LLC | Orthopaedic Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282-7197 | 2020-04-29 |
| 1588296503 | Np9 Healthcare LLC | Pain Medicine | 4765 S Lakeshore Dr, Tempe, AZ 85282-7197 | 2020-02-07 |
| 1538791546 | Delta One Anesthesia Associates LLC | Anesthesiology | 4765 S Lakeshore Dr, Tempe, AZ 85282-7197 | 2020-02-07 |
| 1780214270 | Unity Accident Injury, LLC | Chiropractor | 4765 S Lakeshore Dr, Tempe, AZ 85282-7197 | 2020-01-23 |
| 1366081531 | Unity Anesthesia Solutions LLC | Anesthesiology | 4765 S Lakeshore Dr, Tempe, AZ 85282-7197 | 2020-01-05 |
| 1588208961 | Unity Anesthesia Associates LLC | Anesthesiology | 4765 S Lakeshore Dr, Tempe, AZ 85282-7197 | 2019-10-29 |
| 1902456312 | Unity Neurology, LLC | Psychiatry & Neurology | 4765 S Lakeshore Dr, Tempe, AZ 85282-7197 | 2019-09-17 |
| 1891345211 | Unity Rem, LLC | Psychiatry & Neurology | 4765 S Lakeshore Dr, Tempe, AZ 85282-7197 | 2019-09-17 |
| 1841760873 | Grandview Dme LLC | Durable Medical Equipment & Medical Supplies | 4765 S Lakeshore Dr, Tempe, AZ 85282-7197 | 2018-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| 1013443084 | Kimberly Nickelsen | Registered Nurse | 4041 South Mcclintock, Suite 302, Tempe, AZ 85282 | 2017-05-11 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940274 | Arizona Centers for Orthobiologics, LLC | Clinic/Center | 610 E Baseline Rd Ste 103, Tempe, AZ 85283-1204 | 2020-10-21 |
| 1225433642 | Asc Tempe LLC | Clinic/Center | 940 E University Dr, Ste. 102, Tempe, AZ 85281-4278 | 2014-10-28 |
| 1407093891 | Tempe New Day Surgery Center Lp | Clinic/Center | 2000 E Southern Ave Ste 106, Tempe, AZ 85282-7510 | 2009-01-07 |
| 1285767822 | Arizona Surgical Specialists Center, LLC | Clinic/Center | 1984 E Baseline Rd, Tempe, AZ 85283-1535 | 2007-03-13 |
| 1770557233 | Mesa Az Endoscopy Asc LLC | Clinic/Center | 610 E Baseline Rd, Tempe, AZ 85283-1204 | 2006-02-13 |
| 1699777540 | Physicians Surgery Center of Tempe, LLC | Clinic/Center | 1940 E Southern Ave, Tempe, AZ 85282 | 2005-08-11 |
| 1306451208 | Premier Anesthesiology LLC | Clinic/Center | 2000 E Southern Ave, Tempe, AZ 85282-7510 | 2020-09-09 |
| 1144870569 | Nova Surgical Center, LLC | Clinic/Center | 610 E Baseline Rd, Tempe, AZ 85283-1204 | 2019-09-17 |
| 1508416918 | Exr4 Medical LLC | Clinic/Center | 1984 E Baseline Rd, Tempe, AZ 85283-1535 | 2019-09-17 |
| 1174183636 | East Valley Surgical Center | Clinic/Center | 1984 E Baseline Rd, Tempe, AZ 85283-1535 | 2019-06-17 |
| Find all providers in TEMPE | ||||
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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.