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LAKES REGIONAL HEALTHCARE
NPI 1508862012
General Acute Care Hospital in Spirit Lake, IA


Patient Care Rating: 3 out of 5 stars

NPI Status: Active since June 21, 2005

Contact Information

2301 HIGHWAY 71
SPIRIT LAKE, IA
ZIP 51360
Phone: (712) 336-1230
Fax: (712) 336-8620

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Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Insurance Plans Accepted
  4. Authorized Official
  5. Hospital Compare Quality Information
  6. Nursing Home Compare Information
  7. NPI Validation
  8. Other Providers Same Location
  9. Frequently Asked Questions
  • Organization
  • General Acute Care Hospital
  • Accepts Insurance

About LAKES REGIONAL HEALTHCARE

Lakes Regional Healthcare is a hospital serving the Spirit Lake, Iowa region. The facility is a general acute care hospital. The NPI number of this hospital is 1508862012 assigned on June 2005. The hospital's primary taxonomy code is 282N00000X with license number 300028H (IA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Steve J Alger (Sr Vp And Cfo)

NPI
1508862012
Provider Name
LAKES REGIONAL HEALTHCARE
Entity Type
Organization
Location Address
2301 HIGHWAY 71 SPIRIT LAKE, IA 51360
Location Phone
(712) 336-1230
Location Fax
(712) 336-8620
Mailing Address
PO BOX AB SPIRIT LAKE, IA 51360
Mailing Phone
(712) 336-1230
Mailing Fax
(712) 336-8620
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2005
Last Update Date
09-19-2012
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According to the Home Health Compare program data, Lakes Regional Healthcare has an average overall quality rating based on the provider's performance on seven separate quality measures including: timely initiation of care, improvement in ambulation, bed transferring, bathing, shortness of breath, management of oral medications and relapse in acute care hospitalizations. The Quality of Patient Star Rating for this provider is 3 out of 5 and summarizes some of the current health care provider performance measures.

According to the Hospital Compare program data, Lakes Regional Healthcare has average overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 3 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.

Location Map

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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
300028H
License State
IA
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Insurance Plans Accepted

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

Avera Health Plans

  • Avera $1800 - PPO
  • Avera $2000 - PPO
  • Avera $4000 - PPO
  • Avera $4500 - PPO
  • Avera $6000 - PPO
  • Avera $7500 HSA Eligible HDHP - PPO
  • Avera $9200 - PPO
  • Avera Standard $1500 - PPO
  • Avera Standard $5000 - PPO
  • Avera Standard $7500 - PPO

Sanford Health Plan

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Wellmark Health Plan of Iowa, Inc.

  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

Medicare

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

Medicaid

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

MR. STEVE J ALGER

Authorized Official Title
SR VP AND CFO
Authorized Official Phone
(712) 336-8796

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
0601245MEDICAID (05)IA 
646047000MEDICAID (05)MN 
160124MEDICARE OSCAR/CERTIFICATION (06)IA 

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

  • Overall Quality Rating - 3 out of 5 stars - Average

    The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

  • Nurse Communication - 4 out of 5 stars - Good

    Nurse communication - star rating

  • Doctor Communication - 5 out of 5 stars - Excellent

    Doctor communication - star rating

  • Staff Responsiveness - 4 out of 5 stars - Good

    Staff responsiveness - star rating

  • Communication About Medicines - 4 out of 5 stars - Good

    Communication about medicines - star rating

  • Discharge Information - 4 out of 5 stars - Good

    Discharge information - star rating

  • Care Transition - 4 out of 5 stars - Good

    Care transition - star rating

  • Cleanliness - 4 out of 5 stars - Good

    Cleanliness - star rating

  • Quietness - 4 out of 5 stars - Good

    Quietness - star rating

  • Recommend Hospital - 5 out of 5 stars - Excellent

    Recommend hospital - star rating

  • Hospital Type Acute Care Hospitals - Government - Local

  • Emergency Services: Yes

    Shows if the hospital provides emergency services like acute medical care or trauma care.

  • Meaningful Use of Electronic Health Records: Y

    Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

  • Rate of complications for hip/knee replacement patients is no different than the national rate

    Evaluation Period: July 2020 - March 2023

  • Death rate for heart attack patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Death rate for COPD patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart failure patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for pneumonia patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for stroke patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Pressure ulcer rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Death rate among surgical inpatients with serious treatable complications is number of cases too small

    Evaluation Period: July 2021 - June 2023

  • Iatrogenic pneumothorax rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • In-hospital fall-associated fracture rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative hemorrhage or hematoma rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative acute kidney injury requiring dialysis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative respiratory failure rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Perioperative pulmonary embolism or deep vein thrombosis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative sepsis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative wound dehiscence rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Abdominopelvic accidental puncture or laceration rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • CMS Medicare PSI 90: Patient safety and adverse events composite is no different than the national value

    Evaluation Period: July 2021 - June 2023

Hospital Associated Infections Quality Ratings

  • Clostridium Difficile (C.Diff) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

Unplanned Hospital Visits Quality Ratings

  • Hospital return days for heart attack patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart failure patients is more days than average per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for pneumonia patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate

    Evaluation Period: January 2020 - December 2022

  • Rate of inpatient admissions for patients receiving outpatient chemotherapy is number of cases too small

    Evaluation Period: January 2022 - December 2022

  • Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is number of cases too small

    Evaluation Period: January 2022 - December 2022

  • Ratio of unplanned hospital visits after hospital outpatient surgery is no different than expected

    Evaluation Period: January 2022 - December 2022

  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Heart failure (HF) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after hip/knee replacement is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate

    Evaluation Period: July 2022 - June 2023

  • Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

Hospital Maternal Health Quality Ratings

  • Elective Delivery percentage is 0%

    Percentage of mothers whose deliveries were scheduled 1 to 2 weeks early.
    Evaluation Period: January 2023 - December 2023

  • Maternal Morbidity Structural Measure: Yes

    Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
    Evaluation Period: January 2023 - December 2023

Hospital Timely and Effective Care Quality Ratings

  • Emergency department volume is low

    Evaluation Period: January 2022 - December 2022

  • Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 76.6%

    Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
    Evaluation Period: October 2023 - December 2023

  • Hospital Harm - Severe Hypoglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Hospital Harm - Severe Hyperglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Healthcare workers given influenza vaccination is 90%

    Percentage of healthcare workers given influenza vaccination.
    Evaluation Period: October 2023 - March 2024

  • Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 105 minutes

    Average time patients spent in the emergency department before leaving from the visit.
    Evaluation Period: January 2023 - December 2023

  • Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 198 minutes

    Average time patients spent in the emergency department before being sent home.
    Evaluation Period: January 2023 - December 2023

  • Left before being seen is 1 %

    Percentage of patients who left the emergency department before being seen.
    Evaluation Period: January 2022 - December 2022

  • Head CT results is not available %

    Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
    Evaluation Period: January 2023 - December 2023

  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 99 %

    Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
    Evaluation Period: January 2022 - December 2022

  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

    Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
    Evaluation Period: January 2022 - December 2022

  • ST-Segment Elevation Myocardial Infarction (STEMI) is not available

    Evaluation Period: January 2023 - December 2023

  • Safe Use of Opioids - Concurrent Prescribing is 16

    Evaluation Period: January 2023 - December 2023

  • Appropriate care for severe sepsis and septic shock is 80 %

    Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 3-Hour Bundle is not available %

    Septic Shock 3 Hour.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 6-Hour Bundle is not available %

    Severe Sepsis 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 3-Hour Bundle is 82

    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 6-Hour Bundle is 98 %

    Septic Shock 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Discharged on Antithrombotic Therapy is not available

    Evaluation Period: January 2023 - December 2023

  • Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available

    Evaluation Period: January 2023 - December 2023

  • Antithrombotic Therapy by End of Hospital Day 2 is not available

    Evaluation Period: January 2023 - December 2023

  • Discharged on Statin Medication is not available

    Evaluation Period: January 2023 - December 2023

  • Venous Thromboembolism Prophylaxis is not available

    Evaluation Period: January 2023 - December 2023

  • Intensive Care Unit Venous Thromboembolism Prophylaxis is not available

    Evaluation Period: January 2023 - December 2023

Nursing Home Compare Information

The Centers for Medicare and Medicaid Services publishes Home Health Compare quality of care data to provide consumers an easy way to compare "Medicare-certified" home health agencies throughout the nation. "Medicare-certified" home health agencies are approved by Medicare and meet certain federal health and safety requirements.

The Home Health Compare information helps consumers learn how well home health agencies care for their patients, how often each agency used best practices when caring for its patients and what patients said about their recent home health care experience.

Quality of Patient Care Rating Quality of Patient Care Rating
The quality of patient care star rating summarizes 8 of the 23 quality measures reported on Home Health Compare. It provides a single indicator of an agency's performance compared to other agencies.		 - 3 out of 5 stars - LAKES REGIONAL HEALTHCARE HOME CARE performed about the same as most agencies on selected measures.
Ownership Type Ownership Type
Home health agencies can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. The type of ownership may affect agency resources and how services are organized. Quality can vary in home health agencies within each of the different types of ownership. Each agency needs to be judged on its own merits.		Government Operated
Offers Nursing Care Offers Nursing Care?
The home health agency offers care given or supervised by registered nurses. Nurses provide direct care; manage, observe, and evaluate a patient’s care; and teach the patient and his or her family caregiver. Examples include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about diabetes care. Any service that could be done safely by a non-medical person (or by yourself) without the supervision of a nurse isn’t skilled nursing care. Medicare covers home health skilled nursing care that's part time and intermittent.		Yes
Offers Physical Therapy Offers Physical Therapy?
The home health agency offers treatment of injury and disease by mechanical means, like heat, light, exercise, and massage.		Yes
Offers Occupational Therapy Offers Occupational Therapy?
The home health agency offers services given to help you return to usual activities (like bathing, preparing meals, and housekeeping) after illness either on an inpatient or outpatient basis.		Yes
Offers Speech Therapy Offers Speech Therapy?
The home health agency offers services to assist with problems involving speech, language, and swallowing. Communication problems can be present at birth or develop after an injury or illness, like a stroke.		Yes
Offers Medical Social Services Medical Social Services?
The home health agency offers services to help with social and emotional concerns related to your illness. This might include counseling or help in finding resources in your community.		No
Offers Home Health Aide Offers Home Health Aide?
The home health agency offers part time or intermittent services to help with daily living activities.		Yes
Medicare Certification Date05-16-1979
Number of episodes used to calculate how much Medicare spends at this agency Number of episodes used to calculate how much Medicare spends at this agency
Number of episodes of care used to calculate how much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally.		303
How often patients got better at walking or moving around? How often patients got better at walking or moving around?
This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to ambulate.		87.5%
How often patients got better at getting in and out of bed? How often patients got better at getting in and out of bed?
This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to get in and out of bed.		87.4%
How often patients got better at bathing? How often patients got better at bathing?
This quality measure shows the percentage of home health quality episodes during which the patient got better at bathing self.		85.5%
How often patients' breathing improved? How often patients' breathing improved?
This quality measure shows the percentage of home health quality episodes during which the patient became less short of breath or dyspneic.		82.3%
How often the home health team began their patients' care in a timely manner? How often the home health team began their patients' care in a timely manner?
This quality measure shows the percentage of episodes of care initiated or resumed on the date the physician ordered, or within within 24-48 hours of referral.		99.5%
How often patients got better at taking their drugs correctly by mouth? How often patients got better at taking their drugs correctly by mouth?
This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to take their medicines correctly (by mouth).		84.1%
How often the home health team made sure that their patients have received a flu shot for the current flu season? How often the home health team made sure that their patients have received a flu shot for the current flu season?
This quality measure shows the percentage of home health quality episodes during which patients received the influenza immunization for the current flu season.		68.9%
How often physician-recommended actions to address medication issues were completed timely? How often physician-recommended actions to address medication issues were completed timely?
This quality measure shows the percentage of home health quality episodes forwhich a drug regimen review was conducted at the start of care or resumption of care and completion of recommended actions from timely follow-up with a physician occurred each time potential clinically significant medication issues were identified throughout that quality episode.		99%
Percent of Residents Experiencing One or More Falls with Major Injury How often a patient had one or more falls with a major injury?
This measure reports the percentage of patients who suffer falls that may result in major injuries and are a risk for patients living at the health home.		1.5%
Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment How often a patient has an admission and discharge functional assessment and an admission care plan that addresses function?
This measure displays hows how often the home health team completed a functional assessment for patients at both admission and discharge, and developed a functional care plan at admission.		99.5%
How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally? How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally?
This measure evaluates Home Health resource use relative to the resource use of the national median of all Home Health providers. Specifically, the measure assesses the Medicare spending performed by the Home Health provider and other healthcare providers during an MSPB-PAC episode.		1.07%

Reviews for LAKES REGIONAL HEALTHCARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508862012
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508166402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 6 + 6 + 4 + 0 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1508862012 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427011402LAKES REGIONAL HEALTHCARE
Organization		Medicare Defined Swing Bed Unit2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
(712) 336-1230
1649573247 NINA ROHLING CRNA
Individual		Nurse Anesthetist, Certified Registered2301 HIGHWAY 71 PO BOX AB
SPIRIT LAKE, IA 51360
(712) 336-1230
1932163904LAKES REGIONAL HEALTHCARE
Organization		Home Health2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
(712) 336-1230
1386127025LAKES REGIONAL HEALTHCARE
Organization		Internal Medicine (Medical Oncology)2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
(712) 336-1230
1033731187MR. WILLIAM JACKSON KNOER ARNP
Individual		Nurse Practitioner (Family)2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
(712) 336-1230
1891371001LAKES REGIONAL HEALTHCARE
Organization		Surgery2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
(712) 336-8796
1093208613 WHITNEY NELSON
Individual		Family Medicine2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
(712) 336-1230
1578001160DR. LAITH MOHAMED MAHDI D.O.
Individual		Emergency Medicine2301 HIGHWAY 71
SPIRIT LAKE, IA 51360
(319) 400-0387

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508862012, enumerated in the NPI registry as an "organization" on June 21, 2005

The provider is located at 2301 Highway 71 Spirit Lake, Ia 51360 and the phone number is (712) 336-1230

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Avera Health Plans, Sanford Health Plan, Wellmark. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The Overall Quality Rating for this hospital is 3 out of 5 stars which is average when compared to other hospitals. The overall hospital quality rating is calculated by taking the weighted average of several performance areas like: emergency services, mortality, safety of care, readmission, patient experience, etc.

This hospital has affiliations with at least 98 health care professionals covering 21 different specialties including: Nurse Practitioner, Radiology, Pathology, Internal Medicine, Physician Assistant, Family Medicine, Otolaryngology, Emergency Medicine, Orthopaedic Surgery, Surgery, Physical Medicine & Rehabilitation, Urology, Psychiatry & Neurology, Nurse Anesthetist, Certified Registered, Ophthalmology, Specialist, Colon & Rectal Surgery, Hospitalist, Podiatrist, Obstetrics & Gynecology and Student in an Organized Health Care Education/Training Program.

This NPI record was last updated on June 21, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.