Organization Active NPI

Lakewood Medical Center Inc

  • General Practice Physician
  • Southfield, MI
National Provider Identifier
1225249212
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LAKEWOOD MEDICAL CENTER INC
Practice address
26555 Evergreen Rd
Suite 1502
Southfield, MI 48076-4206
Phone
(248) 352-9351
Fax
(248) 352-9359
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Terry Barnes
Title
Ceo
Phone
(248) 352-9341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

26555 Evergreen Rd
Suite 1502
Southfield, MI 48076-4206

Mailing address

26555 Evergreen Rd
Suite 1502
Southfield, MI 48076-4206
Phone (248) 352-9351

National Provider Directory

National Provider Directory

Locations

26555 Evergreen Rd
Ste 1502
Southfield, MI 48076
Phone (248) 352-9351

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225249212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26555 EVERGREEN RD",
            "address_2": "SUITE 1502",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764206",
            "telephone_number": "248-352-9351",
            "fax_number": "248-352-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26555 EVERGREEN RD",
            "address_2": "SUITE 1502",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764206",
            "telephone_number": "248-352-9351",
            "fax_number": "248-352-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-352-9341"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.