Lakeland Family Medicine, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35079651C Issued in OH

Legal business name

LAKELAND FAMILY MEDICINE, INC

Practice address

155 McDonald Drive SW
New Philadelphia, OH 44663

Phone

(330) 308-8999

Fax

(330) 308-8016

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Joseph Charette, MD

Title

President

Phone

33030888999

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Joseph Klockner, PA-C

  • Medical Physician Assistant
  • New Philadelphia, OH
  • NPI 1295067122
  NPD (past)
• Kindra Sue Browning, D.O.

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1235125022
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1932201365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MCDONALD DRIVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "44663",
            "telephone_number": "330-308-8999",
            "fax_number": "330-308-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MCDONALD DRIVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "44663",
            "telephone_number": "330-308-8999",
            "fax_number": "330-308-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "CHARETTE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "33030888999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35079651C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00047967",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL PROVIDER ID#",
            "identifier": "004748044002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000286978",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2918383",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4578869",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Kolat, PTA
• Kay Kopp, LPCC
• Koran L. Zehnder
• Kary Kuhn, LPCC
• Neal Alexander Kurmas, R.D.
• Jenna Lamp
• Belinda Lancaster
• Lane Drug Co
• Darrell Lynn Laughlin, O.D.
• Sandra Dee Law

• Family Medicine Physician in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.