Lake Michigan Nephrology, L.L.C

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301079804 Issued in MI

Legal business name

LAKE MICHIGAN NEPHROLOGY, L.L.C

Practice address

3800 Hollywood Rd Ste 104
Saint Joseph, MI 49085-8511

Phone

(269) 428-0819

Fax

(269) 428-0841

NPI assigned

May 8, 2007

Last updated

Oct 5, 2023By 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. Daniel William Brash, MDNPI 1649362799

Title

Owner

Phone

(269) 428-0819

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Wajdi Al Shweiat

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1023493574
  Medicare reassignment Care Compare group
• Salar Alam, MD

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1043705114
  Medicare reassignment Care Compare group
• Katherine Westin Kwon, M.D.

  • Nephrology Physician
  • Saint Joseph, MI
  • NPI 1891907770
  Medicare reassignment Care Compare group
• Terry Neil Mehigan, FNP

  • Primary Care Nurse Practitioner
  • Saint Joseph, MI
  • NPI 1851818876
  Medicare reassignment Care Compare group
• Miriam Mekila Morgan-Skinner, NP

  • Nurse Practitioner
  • Saint Joseph, MI
  • NPI 1023662582
  Medicare reassignment Care Compare group
• Oliver Chambers Songlingco, M.D.

  • Nephrology Physician
  • Saint Joseph, MI
  • NPI 1891887964
  Medicare reassignment Care Compare group
• Carri Dawn McCarthy, NP-C

  • Gerontology Nurse Practitioner
  • Saint Joseph, MI
  • NPI 1689252116
  Medicare reassignment
• Debora Tenter, NP

  • Family Nurse Practitioner
  • Saint Joseph, MI
  • NPI 1467804567
  Medicare reassignment
• Daniel W Brash, M.D.

  • Nephrology Physician
  • Saint Joseph, MI
  • NPI 1649362799
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1821201500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD",
            "address_2": "SUITE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858510",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOLLYWOOD RD STE 104",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858511",
            "telephone_number": "269-428-0819",
            "fax_number": "269-428-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MICHIGAN NEPHROLOGY, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "BRASH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-428-0819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301079804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle L. Vonk DDS P.C.
• Samantha Labay, D.O.
• Lake House Counseling PLLC
• Lake Michigan Chiropractic, PLLC
• Lake Michigan Hand Center, PC
• Lake Michigan Neurolgical Surgery
• Lake Michigan Oral & Maxillofacial Surgery PLLC
• Lake Michigan Psychology and Wellness
• Lake Michigan Sinus & Sleep Apnea Center, PLLC
• Lakeland Anesthesia, PC

• Specialist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.