Active NPI
Lake Michigan Sinus & Sleep Apnea Center, PLLC
- Sleep Medicine (Otolaryngology) Physician
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Otolaryngology) Physician
- License
- 4301070920
- Legal business name
- LAKE MICHIGAN SINUS & SLEEP APNEA CENTER, PLLC
- Practice address
- 2680 S. Cleveland Street
Saint Joseph, MI 49085 - Phone
- (269) 982-3368
- Fax
- (269) 983-3238
- NPI assigned
- May 8, 2007
- Last updated
- Dec 31, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis Fred Thompson, MD
- Title
- President
- Phone
- (269) 982-3368
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 4301070920 | MI | Primary |
Addresses
Primary practice location
2680 S. Cleveland Street
Saint Joseph, MI 49085
Mailing address
2680 S. Cleveland Street
Saint Joseph, MI 49085
Phone (269) 982-3368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4171338 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
2680 S Cleveland Ave
Saint Joseph, MI 49085
Phone (269) 428-9000
820 Lester Ave
Ste B11
Saint Joseph, MI 49085
Phone (616) 982-3368
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Saint Joseph, MI
- NPI 1659373256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262217600000",
"number": "1437362316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 S. CLEVELAND STREET",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "49085",
"telephone_number": "269-982-3368",
"fax_number": "269-983-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 S. CLEVELAND STREET",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "49085",
"telephone_number": "269-982-3368",
"fax_number": "269-983-3238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE MICHIGAN SINUS & SLEEP APNEA CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2009-12-31",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "FRED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-982-3368",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YS0012X",
"taxonomy_group": "",
"desc": "Otolaryngology, Sleep Medicine",
"state": "MI",
"license": "4301070920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4171338",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
- Lake Michigan Chiropractic, PLLC
- Lake Michigan Hand Center, PC
- Lake Michigan Nephrology, L.L.C
- Lake Michigan Neurolgical Surgery
- Lake Michigan Oral & Maxillofacial Surgery PLLC
- Lakeland Anesthesia, PC
- Lakeland Community Hospital Watervliet (Corewell Health Watervliet Hospital Bone & Joint)
- Lakeland Health Services
- Lakeland Hospital at Niles and St Joseph, Inc
- Lakeland Hospitals at Niles and St Joseph, Inc (Corewell Health Lakeland Hospitals)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.