NPIMap

Organization Active NPI

Lakeland Medical Practices

Doing business as Sleep Medicine of Lakeland

  • Sleep Medicine (Internal Medicine) Physician
  • Saint Joseph, MI
National Provider Identifier
1720364573
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
4301086073 Issued in MI
Legal business name
LAKELAND MEDICAL PRACTICES
Doing business as
Sleep Medicine of Lakeland
Practice address
2500 Niles Rd
Suite 9
Saint Joseph, MI 49085-3237
Phone
(269) 408-1115
Fax
(269) 408-1166
NPI assigned
Oct 25, 2011
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Janice Crocker
Title
Director Practice Operation
Phone
(269) 687-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301086073 MI Primary

Addresses

Primary practice location

2500 Niles Rd
Suite 9
Saint Joseph, MI 49085-3237

Mailing address

6416 Deans Hill Rd
Berrien Center, MI 49102-9750
Phone (269) 471-7741

Other names 1

  • Sleep Medicine of Lakeland 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

Locations

2500 Niles Rd
Ste 9
Saint Joseph, MI 49085
Phone (269) 408-1115

3950 Hollywood Rd
Ste 210
Saint Joseph, MI 49085
Phone (269) 556-1990

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1720364573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 DEANS HILL RD",
            "city": "BERRIEN CENTER",
            "state": "MI",
            "postal_code": "491029750",
            "telephone_number": "269-471-7741",
            "fax_number": "269-471-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NILES RD",
            "address_2": "SUITE 9",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853237",
            "telephone_number": "269-408-1115",
            "fax_number": "269-408-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND MEDICAL PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR PRACTICE OPERATION",
        "authorized_official_telephone_number": "269-687-1152"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301086073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Medicine of Lakeland",
            "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 Oct 25, 2011; 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.