LAKESIDE UROLOGY
NPI 1932493863
Urology in Niles, MI

NPI Status: Active since June 08, 2011

Contact Information

42 N SAINT JOSEPH AVE
SUITE 200
NILES, MI
ZIP 49120
Phone: (269) 684-5447
Fax: (269) 684-0256

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  • Organization
  • Urology

About LAKESIDE UROLOGY

This page provides the complete NPI Profile along with additional information for Lakeside Urology, a provider established in Niles, Michigan operating as a Urology. The healthcare provider is registered in the NPI registry with number 1932493863 assigned on June 2011. The practitioner's primary taxonomy code is 208800000X with license number 4301036136 (MI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Lakeside Urology. The authorized official of this NPI record is Jancie Crocker (Director, Practice Operations)

NPI
1932493863
Provider Legal Name
LAKELAND MEDICAL PRACTICES
Other Organization Name
LAKESIDE UROLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
42 N SAINT JOSEPH AVE SUITE 200 NILES, MI 49120
Location Phone
(269) 684-5447
Location Fax
(269) 684-0256
Mailing Address
6416 DEANS HILL RD BERRIEN CENTER, MI 49102
Mailing Phone
(269) 471-7741
Mailing Fax
(269) 684-0256
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2011
Last Update Date
07-13-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
4301036136
License State
MI
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANCIE CROCKER

Authorized Official Title
DIRECTOR, PRACTICE OPERATIONS
Authorized Official Phone
(268) 687-1152

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========OTHER (01)MIGROUP TAX ID
MI2051OTHER (01)MIGROUP MEDICARE #
1538397120OTHER (01)MIGROUP NPI

Reviews for LAKESIDE UROLOGY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932493863, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 8 + 9 + 6 + 8 + 1 + 2 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1932493863.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 101
NILES, MI 49120
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Internal Medicine (Hematology & Oncology)
42 N SAINT JOSEPH AVE, SUITE 302
NILES, MI 49120
Nurse Practitioner
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Nurse Practitioner
42 N SAINT JOSEPH AVE, 101
NILES, MI 49120
Surgery
42 N SAINT JOSEPH AVE, SUITE 101
NILES, MI 49120
Nurse Practitioner (Family)
42 N SAINT JOSEPH AVE, SUITE 200
NILES, MI 49120
Obstetrics & Gynecology
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Specialist
42 N SAINT JOSEPH AVE, SUITE100
NILES, MI 49120
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 100
NILES, MI 49120
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 300
NILES, MI 49120
Surgery
42 N SAINT JOSEPH AVE, SUITE 100
NILES, MI 49120
Preventive Medicine (Undersea and Hyperbaric Medicine)
42 N SAINT JOSEPH AVE, SUITE 103
NILES, MI 49120
General Practice
42 N SAINT JOSEPH AVE, SUITE 200
NILES, MI 49120
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Surgery
42 N SAINT JOSEPH AVE
NILES, MI 49120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932493863, enumerated as an "organization" on June 08, 2011.

The provider is located at 42 N SAINT JOSEPH AVE SUITE 200 NILES, MI 49120 and the phone number is (269) 684-5447.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.