Organization Active NPI

Lakeview Internal Medicine,P.C

  • Internal Medicine Physician
  • Sault Sainte Marie, MI
National Provider Identifier
1679667687
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301068603 Issued in MI
Legal business name
LAKEVIEW INTERNAL MEDICINE,P.C
Practice address
558 Ashmun St
Sault Sainte Marie, MI 49783-4001
Phone
(906) 635-9090
Fax
(906) 635-9091
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Thilak Chander, M.D.
Title
President
Phone
(906) 635-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301068603 MI Primary

Addresses

Primary practice location

558 Ashmun St
Sault Sainte Marie, MI 49783-4001

Mailing address

2118 W 3Rd Ave
Sault Sainte Marie, MI 49783-1200
Phone (906) 635-9090

National Provider Directory

National Provider Directory

Locations

550 Osborn Blvd
Ste 203
Sault Sainte Marie, MI 49783
Phone (906) 635-9090

511 Ashmun St
Ste 102
Sault Sainte Marie, MI 49783
Phone (906) 635-9090

558 Ashmun St
Sault South Marie, MI 49783
Phone (906) 635-9090

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1679667687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 W 3RD AVE",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831200",
            "telephone_number": "906-635-9090",
            "fax_number": "906-635-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497834001",
            "telephone_number": "906-635-9090",
            "fax_number": "906-635-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW INTERNAL MEDICINE,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "CHANDER",
        "authorized_official_first_name": "THILAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-635-9090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.