NPIMap

Organization Active NPI

Lakeshore Osteopathic Center,P.C.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1932238052
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
TH015883 Issued in MI
Legal business name
LAKESHORE OSTEOPATHIC CENTER,P.C.
Practice address
20867 Mack Ave
Ste 7
Grosse Pointe Woods, MI 48236-1392
Phone
(313) 882-8070
Fax
(313) 882-8413
NPI assigned
Mar 5, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Teri Hammer, DONPI 1407854003
Title
President
Phone
(313) 882-8070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X TH015883 MI Primary

Addresses

Primary practice location

20867 Mack Ave
Ste 7
Grosse Pointe Woods, MI 48236-1392

Mailing address

20867 Mack Ave
Ste 7
Grosse Pointe Woods, MI 48236-1392
Phone (313) 882-8070

National Provider Directory

National Provider Directory

Locations

20867 Mack Ave
Ste 7
Grosse Pointe Woods, MI 48236
Phone (313) 882-8070

25959 Kelly Rd
Ste B
Roseville, MI 48066
Phone (313) 882-8070

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1932238052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20867 MACK AVE",
            "address_2": "STE 7",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361392",
            "telephone_number": "313-882-8070",
            "fax_number": "313-882-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20867 MACK AVE",
            "address_2": "STE 7",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361392",
            "telephone_number": "313-882-8070",
            "fax_number": "313-882-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE OSTEOPATHIC CENTER,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-882-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "TH015883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.