Lakes Cardiology PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

LAKES CARDIOLOGY PC

Practice address

9640 Commerce Rd Ste 106
Commerce TWP, MI 48382-4167

Phone

(248) 217-1314

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Jay Kozlowski

Title

Owner

Phone

(248) 217-1314

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21679/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1538785415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD STE 106",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD STE 106",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824167",
            "telephone_number": "248-217-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "KOZLOWSKI",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-217-1314"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hee Kim
• Donald S Kitain, D.O.
• Kristen J Knapp, CRNA
• Tianna Kaitlyn Kubinski, RDN
• Annette C Lacasse, DO
• Lakes Surgicare Center
• Lane in Home Therapy Services, PLLC
• Laps PLLC
• Lepak Family Dentistry
• Jeffery Levitt, DPM

• Cardiovascular Disease Physician in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.