Edward C Lake Jr. (NPI# 1962456822, PAC ID# 5395934251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1962456822 |
| PAC ID by PECOS | 5395934251 |
| Professional Enrollment ID | I20110106001210 |
| Full Name | Edward C Lake Jr. |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF BRANCH COUNTY |
| Address |
235 E Chicago St Chc Obstetrics and Gynecology Coldwater MI 49036-1783 |
| Phone Number | 5172798465 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9335037514 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230022 | COMMUNITY HEALTH CENTER OF BRANCH COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 235 E Chicago St, Chc Obstetrics and Gynecology, Coldwater, MI 49036-1783 | 5172798465 | COMMUNITY HEALTH CENTER OF BRANCH COUNTY |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF BRANCH COUNTY |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Clark | Obstetrics/gynecology | Community Health Center of Branch County | 235 E Chicago St, Chc Obstetrics and Gynecology, Coldwater, MI 49036-1783 |
| Tania Lynn Berry | Family Medicine | Community Health Center of Branch County | 197 Division St, Bronson, MI 49028-1213 |
| Amber Casey | Internal Medicine | Community Health Center of Branch County | 185 E Chicago St, Quincy, MI 49082-1165 |
| Jessica L Bartock | General Surgery | Community Health Center of Branch County | 274 E Chicago St, Coldwater, MI 49036-2041 |
| Kanwar V Rana | Psychiatry | Community Health Center of Branch County | 274 E Chicago St, Coldwater, MI 49036-2041 |
| Patricia S Hall | Nurse Practitioner | Community Health Center of Branch County | 197 Division St, Bronson, MI 49028-1213 |
| Michael A Howell | Podiatry | Community Health Center of Branch County | 274 E Chicago St, Coldwater, MI 49036-2041 |
| Edward G Jankowski | Otolaryngology | Community Health Center of Branch County | 370 E Chicago St, 300 Coldwater Ear Nose and Throat, Coldwater, MI 49036-2062 |
| Marjan Mohamadi | Internal Medicine | Community Health Center of Branch County | 274 E Chicago St, Coldwater, MI 49036-2041 |
| Gail Marie Widener | Nurse Practitioner | Community Health Center of Branch County | 235 E Chicago St, Chc Obstetrics and Gynecology, Coldwater, MI 49036-1783 |
| Street Address |
235 E CHICAGO ST CHC OBSTETRICS AND GYNECOLOGY |
| City | COLDWATER |
| State | MI |
| Zip | 49036-1783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Clark | Obstetrics/gynecology | Community Health Center of Branch County | 235 E Chicago St, Chc Obstetrics and Gynecology, Coldwater, MI 49036-1783 |
| Gail Marie Widener | Nurse Practitioner | Community Health Center of Branch County | 235 E Chicago St, Chc Obstetrics and Gynecology, Coldwater, MI 49036-1783 |
| David Hartfiel | Obstetrics/gynecology | Community Health Center of Branch County | 235 E Chicago St, Chc Obstetrics and Gynecology, Coldwater, MI 49036-1783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Swanson | Optometry | Rx Optical Laboratories, Inc. | 755 E Chicago, Coldwater, MI 49036 |
| Charles F Whitaker Iv | Family Medicine | 436 Marshall St, Coldwater, MI 49036-1139 | |
| Christine A Hill-melton | Psychologist, Clinical | 364 Marshall St, Coldwater, MI 49036-1140 | |
| Michael L Sussex | Optometry | 350 Marshall St, Coldwater, MI 49036-1175 | |
| Melinda K Fuchs | Clinical Social Worker | 28 W Chicago St, 2c, Coldwater, MI 49036-1678 | |
| Kathleen J Bickle | Podiatry | Advanas Foot and Ankle Specialists Plc | 300 E Chicago St, Suite 2, Coldwater, MI 49036-1688 |
| Brandon Michael Soldano | Chiropractic | 173 E Chicago St, Coldwater, MI 49036-1703 | |
| Shane P Speaker | Clinical Social Worker | Branch County Community Mental Heatlh Authority | 200 Vista Dr, Coldwater, MI 49036-1776 |
| Laura Lynn Brodt | Clinical Social Worker | Branch County Community Mental Heatlh Authority | 200 Vista Dr, Coldwater, MI 49036-1776 |
| Shannan M Lester | Clinical Social Worker | Branch County Community Mental Heatlh Authority | 200 Vista Dr, Coldwater, MI 49036-1776 |
| Find all physicians in zip 49036 | |||
| City | COLDWATER |
| Zip Code | 49036 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | COLDWATER + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.