Organization Active NPI

Lakeside Diabetes & Endocrine Center PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Saint Joseph, MI
National Provider Identifier
1568474658
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
LAKESIDE DIABETES & ENDOCRINE CENTER PLLC
Practice address
3950 Hollywood Rd
Suite 284
Saint Joseph, MI 49085-9151
Phone
(269) 408-1600
Fax
(269) 408-1602
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Dr. Majdi S Alnajjar, M.D.
Title
Physician/ Owner
Phone
(269) 408-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

3950 Hollywood Rd
Suite 284
Saint Joseph, MI 49085-9151

Mailing address

3950 Hollywood Rd
Suite 284
Saint Joseph, MI 49085-9151
Phone (269) 408-1600

Other identifiers 1

IdentifierTypeStateIssuer
DF7533OtherMEDICARE RR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1568474658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 HOLLYWOOD RD",
            "address_2": "SUITE 284",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859151",
            "telephone_number": "269-408-1600",
            "fax_number": "269-408-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 HOLLYWOOD RD",
            "address_2": "SUITE 284",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859151",
            "telephone_number": "269-408-1600",
            "fax_number": "269-408-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE DIABETES & ENDOCRINE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "ALNAJJAR",
        "authorized_official_first_name": "MAJDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "269-408-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DF7533",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 29, 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.

Verify at the official NPI Registry.