NPIMap

Organization Active NPI

Lakeland Medical Practices

Doing business as Lakeland Cancer Specialist

  • Hematology & Oncology Physician
  • Saint Joseph, MI
National Provider Identifier
1699051136
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301085395 Issued in MI
Legal business name
LAKELAND MEDICAL PRACTICES
Doing business as
Lakeland Cancer Specialist
Practice address
3900 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone
(269) 428-4411
Fax
(269) 428-4422
NPI assigned
Oct 28, 2011
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Warren Whte Jr.
Title
Director Practice Operations
Phone
(269) 983-8507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301085395 MI Primary

Addresses

Primary practice location

3900 Hollywood Rd
Saint Joseph, MI 49085-9149

Mailing address

3900 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone (269) 428-4411

Other names 1

  • Lakeland Cancer Specialist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeland Medical Practices49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1699051136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-428-4411",
            "fax_number": "269-428-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-428-4411",
            "fax_number": "269-428-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND MEDICAL PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "WHTE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "DIRECTOR PRACTICE OPERATIONS",
        "authorized_official_telephone_number": "269-983-8507",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301085395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Cancer Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 9, 2016; 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.