Coldwater Obstetrics & Gynecology, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

COLDWATER OBSTETRICS & GYNECOLOGY, P.C.

Practice address

235 E Chicago St
Coldwater, MI 49036-1783

Phone

(517) 279-8465

Fax

(517) 279-8665

NPI assigned

Jul 2, 2006

Last updated

Sep 3, 2013By 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

Edward C. Lake Jr., M.D.NPI 1962456822

Title

President

Phone

(517) 279-8465

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Edward C. Lake Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Coldwater, MI
  • NPI 1962456822
  Authorized official Same address or phone

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1982633798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361783",
            "telephone_number": "517-279-8465",
            "fax_number": "517-279-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361783",
            "telephone_number": "517-279-8465",
            "fax_number": "517-279-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDWATER OBSTETRICS & GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-279-8465",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.