Lake Shore Family Medicine, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAKE SHORE FAMILY MEDICINE, P.A.

Practice address

2100 Lake Shore Dr
Waco, TX 76708-1271

Phone

(254) 755-0088

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Karl M Trippe, MD

Title

President

Phone

(254) 755-0088

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Danny Sean Julian, MD

  • Family Medicine Physician
  • Waco, TX
  • NPI 1588645931
  NPD (past)
• Tracy A Kramer, N.P.

  • Family Nurse Practitioner
  • Waco, TX
  • NPI 1548371438
  NPD (past)
• Michael Allen Loden, MD

  • Family Medicine Physician
  • Waco, TX
  • NPI 1922089382
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457463085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081271",
            "telephone_number": "254-755-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081271",
            "telephone_number": "254-755-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIPPE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-755-0088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Wayne Laird Jr., PA-C
• Lake Shore Center for Behavioral Health, LLC
• Lake Shore Center for Psychological Services, P.C.
• Lake Shore Dental Care, PLLC
• Lake Shore Dental Group PLLC
• Jamie Lynn Lambert, PAC
• Manita Lamichhane, NURSE PRACTITIONER
• Kayla Lammert, DDS
• Landmark Chiropractic LLC
• Denise Landon, FNP

• Family Medicine Physician in Waco, TX
• Providers in Waco, TX by specialty
• Family Medicine Physician in Texas

• 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.