Lakeland Physician Practices LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

LAKELAND PHYSICIAN PRACTICES LLC

Doing business as

Bankhead General Surgery

Practice address

42030 Highway 195
Haleyville, AL 35565-7054

Phone

(615) 372-8500

NPI assigned

Aug 19, 2008

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald J Bivacca

Title

President

Phone

(615) 372-8500

Specialties & licenses 1

Addresses

Other names 1

• Bankhead General Surgery Doing business as

Locations

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1306093596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355650697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42030 HIGHWAY 195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "615-372-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "BIVACCA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bankhead General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeland Community Hospital, Inc. (Northwest Home Health-Haleyville)
• Lakeland Community Hospital, Inc. (Sanar Medical Clinic)
• Lakeland Community Hospital, Inc.
• Lakeland Community Hospital, Inc. (Lakeland Family Practice)
• Lakeland Physician Practices LLC (Bankhead Family Medicine)
• Lakeland Physician Practices LLC (Lakeland Family Practice)
• Lakeland Physicians LLC
• Dan M Lakeman, DMD
• Frances Evangeline Lane
• Jordan Lawler

• Surgery Physician in Haleyville, AL
• Providers in Haleyville, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.