LAKEMARY CENTER, INC. (NPI# 1912972894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912972894 |
| Entity Type | Organization |
| Organization Name | LAKEMARY CENTER, INC. |
| Practice Address |
100 Lakemary Dr Paola KS 66071-1855 |
| Practice Telephone | 9135574000 |
| Practice Fax Number | 9135574910 |
| Mailing Telephone | 9135574000 |
| Mailing Fax Number | 9135574910 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | MR. SHAWN KELSEY (DIRECTOR OF FISCAL SERVICES) |
| Authorized Official Telephone | 9135574000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100102750C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457326092 | Lakemary Center, Inc. | Home Health | 100 Lakemary Dr, Paola, KS 66071-1855 | 2006-02-17 |
| 1396711818 | Lakemary Center, Inc. | Dietitian, Registered | 100 Lakemary Dr, Paola, KS 66071-1855 | 2006-02-24 |
| 1336115021 | Lakemary Center, Inc. | Case Management | 100 Lakemary Dr, Paola, KS 66071-1855 | 2006-02-23 |
| Street Address |
100 LAKEMARY DR |
| City | PAOLA |
| State | KS |
| Zip Code | 66071-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457326092 | Lakemary Center, Inc. | Home Health | 100 Lakemary Dr, Paola, KS 66071-1855 | 2006-02-17 |
| 1033751714 | Megen Male | Nurse Practitioner | 100 Lakemary Dr, Paola, KS 66071-1855 | 2019-10-14 |
| 1598321259 | Lindsey Schultz | Social Worker | 100 Lakemary Dr, Paola, KS 66071-1855 | 2019-05-17 |
| 1073050548 | Kelccey Manchester | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2017-01-23 |
| 1326581075 | Keslie Humburg | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2016-11-29 |
| 1023470820 | Hannah Reed | Marriage & Family Therapist | 100 Lakemary Dr, Paola, KS 66071-1855 | 2016-03-22 |
| 1558762898 | Fe Lizette Vergara Douglas | Speech-Language Pathologist | 100 Lakemary Dr, Paola, KS 66071-1855 | 2014-09-05 |
| 1922422948 | James E Rauch | Social Worker | 100 Lakemary Dr, Paola, KS 66071-1855 | 2014-02-11 |
| 1659793792 | Anna Toren | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2014-01-08 |
| 1972856748 | Mary K Egger | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2012-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891235032 | Erin Poe | Pharmacist | 311 N. Hospital Dr., Paola, KS 66071 | 2017-03-07 |
| 1902052871 | Travis L Howard | Dentist | 1610 Willis Court, Paola, KS 66071 | 2008-08-12 |
| 1114139870 | Agape, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16046 W 343rd St, Paola, KS 66071 | 2007-05-04 |
| 1497978373 | County of Miami | Public Health or Welfare | 1201 Lakemary Drive, Paola, KS 66071 | 2007-04-10 |
| 1629192356 | Maria Elaine Heid | Speech-Language Pathologist | 2103 Lakeview Drive, Paola, KS 66071 | 2007-03-19 |
| 1356408736 | Douglas Mark Slawson | Dentist | 22 South Silver, Paola, KS 66071 | 2007-01-03 |
| 1811089295 | Sanders Family Dentistry | Dentist | 28 W Peoria, Paola, KS 66071 | 2006-09-29 |
| 1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
| 1801867510 | College Boulevard Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 Baptiste Dr, Paola, KS 66071 | 2006-01-30 |
| 1235109950 | Jaclyn Dean Voight | Nurse Anesthetist, Certified Registered | 2100 Baptiste, Paola, KS 66071 | 2006-01-25 |
| Find all providers in zip 66071 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336420793 | Newman University | Clinic/Center | 3100 Mccormick St, Wichita, KS 67213-2008 | 2011-08-30 |
| 1639400856 | Usd 273 | Clinic/Center | 2020 North Independence, Beloit, KS 67420-0547 | 2010-01-28 |
| 1861720419 | Ellis Usd 388 | Clinic/Center | 1011 Washington St, Ellis, KS 67637-1614 | 2009-11-19 |
| 1518292192 | Usd443 | Clinic/Center | 1000 2nd, Dodge City, KS 67801-0460 | 2009-10-15 |
| 1225363120 | Usd 102 Cimarron-ensign | Clinic/Center | 314 North 1st Street, Cimarron, KS 67835 | 2009-10-09 |
| 1285969535 | Usd225, Fowler | Clinic/Center | 100 East 8th Avenue, 100 E. 8th Ave., Fowler, KS 67844 | 2009-10-05 |
| 1952636391 | Unified School District 227 | Clinic/Center | 301 Douglas St, Jetmore, KS 67854-9092 | 2009-10-02 |
| 1164756912 | Dighton Usd #482 | Clinic/Center | 544 E Pearl St, Dighton, KS 67839-0878 | 2009-09-28 |
| 1033443965 | Ingalls School | Clinic/Center | 100 Bulldog Drive, Ingalls, KS 67853 | 2009-09-24 |
| 1750615704 | Easton Usd 449 | Clinic/Center | 32502 Easton Rd, Easton, KS 66020-7260 | 2009-09-23 |
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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.