Lakeshore Mobile M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301050045 Issued in MI

Legal business name

LAKESHORE MOBILE M.D., P.C.

Practice address

8333 Felch St
Zeeland, MI 49464-1698

Phone

(616) 772-4644

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keith D Marcus, M.D.

Title

President

Phone

(616) 283-7527

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790982528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "SAUGATUCK",
            "state": "MI",
            "postal_code": "494530217",
            "telephone_number": "616-283-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 FELCH ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641698",
            "telephone_number": "616-772-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE MOBILE M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-283-7527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301050045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ladiski
• Caley R Ladomer
• Sarah Marie Lagrand, CNM, MSN
• Carley Laird
• Lakeshore Health Partners - Family Medicine
• Lakeshore Speech Services, LLC
• Marta Langley, MD
• Toni Larson, PHARMD
• Kenna Laskovy, DO
• Hannah Laszlo

• Internal Medicine Physician in Zeeland, MI
• Providers in Zeeland, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.