Lakes Surgicare Center

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

LAKES SURGICARE CENTER

Practice address

9640 Commerce Rd Ste 102
Commerce TWP, MI 48382-4167

Phone

(248) 360-3888

Fax

(248) 363-0894

NPI assigned

Nov 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. G. Daniel Shanahan IV, DPM

Title

Governance

Phone

(248) 360-3888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194652800000",
    "number": "1588844237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD STE 102",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824167",
            "telephone_number": "248-360-3888",
            "fax_number": "248-363-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD STE 102",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824167",
            "telephone_number": "248-360-3888",
            "fax_number": "248-363-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES SURGICARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-10",
        "last_updated": "2007-11-10",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "GOVERNANCE",
        "authorized_official_telephone_number": "248-360-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald S Kitain, D.O.
• Kristen J Knapp, CRNA
• Tianna Kaitlyn Kubinski, RDN
• Annette C Lacasse, DO
• Lakes Cardiology PC
• Lane in Home Therapy Services, PLLC
• Laps PLLC
• Lepak Family Dentistry
• Jeffery Levitt, DPM
• Alisha Ann Lominac, O.T.R.

• Podiatric Clinic/Center in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Podiatric Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2007; 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.