Lake Mi Mobile Doctors P.C.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

LAKE MI MOBILE DOCTORS P.C.

Doing business as

Mobile Doctors of Kansas City

Practice address

6501 E Commerce Ave
Suite 170
Kansas City, MO 64120-2171

Phone

(816) 994-0073

Fax

(816) 994-0084

NPI assigned

May 11, 2011

Last updated

Oct 15, 2012By 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

Mr. Tysyn Contreras

Title

Director of Quality Assurance

Phone

(312) 939-5090

Specialties & licenses 2

Addresses

Other names 1

• Mobile Doctors of Kansas City Doing business as

Practitioners 2

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.

• Barinder Paul Bassi, DPM

  • Podiatrist
  • Tahlequah, OK
  • NPI 1013922772
  NPD (past)
• Marvin Lynell McIntosh, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, KS
  • NPI 1417054362
  NPD (past)

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1710279666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 N. ELSTON AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185811",
            "telephone_number": "773-751-7200",
            "fax_number": "773-583-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E COMMERCE AVE",
            "address_2": "SUITE 170",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641202171",
            "telephone_number": "816-994-0073",
            "fax_number": "816-994-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MI MOBILE DOCTORS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "TYSYN",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "312-939-5090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Doctors of Kansas City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pin-Chuang Lai, DDS
• Nicole Cherice Laidlaw
• Candace Kadian Moreen Laing, LPC, RMHCI (FL), MS
• Leslie Robertson Lair, PHARMD
• Paul Lair, PHARM.D.
• Bethany Lake
• Lakeside Neurology & Radiology of Missouri, LLC
• Lakeside Neurology and Radiology of Missouri
• Jakeb Lally, MD
• Doc Dominic Lam

• Geriatric Medicine (Internal Medicine) Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.