Individual provider Active NPI

Gary Edward Lakind, D.O.

  • Family Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1619937257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015091 Issued in MI
Practice address
5315 Putnam Dr
West Bloomfield, MI 48323-3856
Phone
(248) 851-3555
NPI assigned
Mar 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015091 MI Primary

Addresses

Primary practice location

5315 Putnam Dr
West Bloomfield, MI 48323-3856

Mailing address

5315 Putnam Dr
West Bloomfield, MI 48323-3856
Phone (248) 851-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015091MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin J Rosenblat DO PLLC Family Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619937257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 PUTNAM DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233856",
            "telephone_number": "248-851-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 PUTNAM DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233856",
            "telephone_number": "248-851-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIND",
        "first_name": "GARY",
        "middle_name": "EDWARD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.