Lakeside Obstetrics & Gynecology LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2008006546 Issued in MO

Legal business name

LAKESIDE OBSTETRICS & GYNECOLOGY LLC

Practice address

980 Parkside Village LN
Osage Beach, MO 65065-3098

Phone

(573) 302-1114

Fax

(573) 302-0077

NPI assigned

May 23, 2008

Last updated

Nov 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin James Hooker, MD

Title

Co Manager

Phone

(573) 302-1114

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rene Galan, M.D.

  • Obstetrics & Gynecology Physician
  • Miami, OK
  • NPI 1881804029
  NPD (past)

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1699933838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 PARKSIDE VILLAGE LN",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653098",
            "telephone_number": "573-302-1114",
            "fax_number": "573-302-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 PARKSIDE VILLAGE LN",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653098",
            "telephone_number": "573-302-1114",
            "fax_number": "573-302-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE OBSTETRICS & GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CO MANAGER",
        "authorized_official_telephone_number": "573-302-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2008006546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Regional Health System
• Lake Regional Health System
• Lake Regional Imaging Partners, LLC
• Lake Regional Medical Management, Inc. (Lake Regional Medical Group)
• Mark S. Lake, D.D.S.
• Carlee Lamb
• Katherine Lambirth, PTA
• John F Lange, D.O.
• Lauwanna R Larue, L.M.T.
• Ashlie Lean

• Obstetrics & Gynecology Physician in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.