LAKESHORE OSTEOPATHIC CENTER,P.C. (NPI# 1932238052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932238052 |
| Entity Type | Organization |
| Organization Name | LAKESHORE OSTEOPATHIC CENTER,P.C. |
| Practice Address |
20867 Mack Ave Ste 7 Grosse Pointe Woods MI 48236-1392 |
| Practice Telephone | 3138828070 |
| Practice Fax Number | 3138828413 |
| Mailing Telephone | 3138828070 |
| Mailing Fax Number | 3138828413 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | DR. TERI HAMMER (PRESIDENT) |
| Authorized Official Telephone | 3138828070 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | TH015883 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
20867 MACK AVE STE 7 |
| City | GROSSE POINTE WOODS |
| State | MI |
| Zip Code | 48236-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854003 | Teri Lynn Hammer | Neuromusculoskeletal Medicine & OMM | 20867 Mack Ave, Ste 7, Grosse Pointe Woods, MI 48236-1392 | 2005-07-08 |
| 1033412747 | Edward G. Jankowski M.d. P.C. | Otolaryngology | 20867 Mack Ave, Suite 2, Grosse Pointe Woods, MI 48236-1356 | 2010-12-20 |
| 1841436201 | Andrea Andrzejczak Ph.d. | Point of Service | 20867 Mack Ave, Suite 4, Grosse Pointe Woods, MI 48236-1392 | 2009-01-06 |
| 1982725735 | Lakeside Neurology P C | Psychiatry & Neurology | 20867 Mack Ave, Ste 6, Grosse Pointe Woods, MI 48236-1392 | 2007-04-02 |
| 1376667634 | Dennis C. Packey, Do PC | Internal Medicine | 20867 Mack Ave, Suite 3, Grosse Pointe Woods, MI 48236-1392 | 2007-03-19 |
| 1366586893 | Edward G. Jankowski | Otolaryngology | 20867 Mack Ave, Suite 2, Grosse Pointe Woods, MI 48236-1392 | 2007-02-17 |
| 1821089236 | Dennis C Packey | Internal Medicine | 20867 Mack Ave, Suite 3, Grosse Pointe Woods, MI 48236-1392 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854003 | Teri Lynn Hammer | Neuromusculoskeletal Medicine & OMM | 20867 Mack Ave, Ste 7, Grosse Pointe Woods, MI 48236-1392 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1649634411 | Benjamin J Visger Do Pllc | Neuromusculoskeletal Medicine & OMM | 1865 Lawnel Ave, Norton Shores, MI 49441-3742 | 2016-04-07 |
| 1639583206 | John Morasso | Neuromusculoskeletal Medicine & OMM | 6525 West Maple Rd., Ste 101 E, West Bloomfield, MI 48322-4930 | 2014-06-11 |
| 1477845618 | Bashar Abou-rass | Neuromusculoskeletal Medicine & OMM | 4673 Ravine Dr, Bloomfield, MI 48301-3640 | 2011-05-06 |
| 1144559642 | Stephen I. Goldman, D.o., P.C. | Neuromusculoskeletal Medicine & OMM | 23995 Novi Rd, Suite C103, Novi, MI 48375-5439 | 2009-12-11 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| 1902005762 | Ravi David Yarid | Neuromusculoskeletal Medicine & OMM | 12 E Bacon St, Suite 120, Hillsdale, MI 49242-1616 | 2007-07-12 |
| 1477752327 | Amelia Louise Bueche | Neuromusculoskeletal Medicine & OMM | 818 Red Dr Ste 100, Traverse City, MI 49684 | 2007-07-12 |
| 1730384744 | Douglas Reed Jackson | Neuromusculoskeletal Medicine & OMM | 3211 Applewood Rd, Midland, MI 48640-2666 | 2007-06-19 |
| 1104031574 | Ronald Edmund Gren | Neuromusculoskeletal Medicine & OMM | 19500 Pierson Dr, Northville, MI 48167-2650 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE WOODS |
| Zip Code | 48236 |
Please comment or provide details below to improve the information on LAKESHORE OSTEOPATHIC CENTER,P.C..
| 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.