Lakeshore Ear Nose and Throat Center PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

LAKESHORE EAR NOSE AND THROAT CENTER PC

Practice address

21000 E 12 Mile Rd
Ste 111
Saint Clair Shores, MI 48081-1116

Phone

(586) 779-7610

NPI assigned

Jun 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel DJ Megler, MD

Title

President -Chief Executive Officer

Phone

(586) 779-7610

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1194921692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 E 12 MILE RD",
            "address_2": "STE 111",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811116",
            "telephone_number": "586-779-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 E 12 MILE RD",
            "address_2": "STE 111",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811116",
            "telephone_number": "586-779-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE EAR NOSE AND THROAT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MEGLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DJ",
        "authorized_official_title_or_position": "PRESIDENT -CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "586-779-7610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1108206701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbie Lin Laforest, LLMSW
• Christopher E Lai, M.D.
• Maria R Lai, MALLP,LCSW
• Lakepointe Orthodontics PLLC
• Lakeshore Ear Nose and Throat Center PC
• Lakeshore Home Health Services, LLC
• Lakeshore Hospice, LLC
• Lakeshore Psychological Services
• Lakeside Internal Medicine PC
• Lakeview Diagnostic Services

• Allergy & Immunology Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.