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STONEGATE PLACTIC SURGERY
NPI 1417324393
Surgery - Plastic and Reconstructive Surgery in Saint Joseph, MI

Active since August 27, 2015
3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 49085(269) 556-6000(269) 556-6020 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stonegate Plactic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STONEGATE PLACTIC SURGERY (NPI 1417324393) is a healthcare organization registered as a plastic and reconstructive surgery in Saint Joseph, Michigan and active in the NPI registry since August 2015. The organization lists Warren White, Vice President Physician Services, as its authorized official.

NPPES Registry Identity

NPI1417324393
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameLAKELAND MEDICAL PRACTICES
Location Address3901 STONEGATE PARK, SUITE 300Saint Joseph, MI 49085-9137
Mailing Address3901 Stonegate Park, Suite 300Saint Joseph, MI 49085-9137 · (269) 556-6000 · Fax (269) 556-6020
Phone(269) 556-6000
Fax(269) 556-6020
Organization SubpartNo
Authorized OfficialWarren WhiteVice President Physician Services · (269) 983-8304
Enumeration DateAugust 27, 2015
✔ NPI 1417324393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MI · 4301056980
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3901 STONEGATE PARK, Saint Joseph, MI 49085
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Other Names 1

Doing Business AsStonegate Plactic Surgery

Other Identifiers 1

Medicare PINMI2051MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL ERNEST LOGAN M.D., PHD
Plastic Surgery
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Berrien County (269) 556-6000
AMERICAN LIMB & ORTHOPEDIC CO.
Prosthetic/Orthotic Supplier
3901 STONEGATE PARK, SUITE 200
SAINT JOSEPH, MI 49085
Berrien County (269) 408-0129
GORDON SANGHI WON DDS
Dentist (General Practice)
3901 STONEGATE PARK, STE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 428-9500
KAREN LYNNE POWERS MD
Plastic Surgery
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Berrien County (269) 556-6000
RIDDHI JAY SHAH D.O.
Dermatology
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Berrien County (269) 408-4265
CHRISTINA DIANE PAREIGIS MD
Physical Medicine & Rehabilitation
3901 STONEGATE PARK, SUITE #500
SAINT JOSEPH, MI 49085
Berrien County (269) 429-6700
LAKELAND MEDICAL PRACTICES
Dermatology
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Berrien County (269) 556-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeland Medical Practices's NPI number?

The NPI number for Lakeland Medical Practices is 1417324393. It was assigned to this organization in the NPPES registry on August 27, 2015. The provider is doing business as Stonegate Plactic Surgery.

Where is Lakeland Medical Practices located?

Lakeland Medical Practices is located at 3901 Stonegate Park Suite 300, Saint Joseph, MI 49085. The listed phone number is (269) 556-6000.

What is Lakeland Medical Practices's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Lakeland Medical Practices was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.