NPIMap

Organization Active NPI

Lakeland Medical Practices

  • Occupational Medicine Physician
  • Saint Joseph, MI
National Provider Identifier
1407329261
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
LAKELAND MEDICAL PRACTICES
Practice address
2500 Niles Rd Ste 4
Saint Joseph, MI 49085-3225
Phone
(269) 408-4171
Fax
(269) 408-4174
NPI assigned
Jan 4, 2019
Organization subpart
Yes
Parent organization
LAKELAND MEDICAL PRACTICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Morgan Vincent
Title
Medical Staff Coordinator
Phone
(269) 983-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

2500 Niles Rd Ste 4
Saint Joseph, MI 49085-3225

Mailing address

2500 Niles Rd Ste 4
Saint Joseph, MI 49085-3225
Phone (269) 408-4171

Other names 1

  • Lakeland Occupational Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeland Medical Practices49 organizations share this tax ID, including this one
Part of
Lakeland Medical Practices

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1407329261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NILES RD STE 4",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853225",
            "telephone_number": "269-408-4171",
            "fax_number": "269-408-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NILES RD STE 4",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853225",
            "telephone_number": "269-408-4171",
            "fax_number": "269-408-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND MEDICAL PRACTICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKELAND MEDICAL PRACTICES",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "269-983-8282"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Occupational Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.