OrganizationActive
Lakeland Medical Practices
NPI 1104145002 · Clinic/Center · Niles, MI
Provider details
- NPI number
- 1104145002
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Warren White, V.p. Physician Practices(269) 983-8127
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
42 N Saint Joseph Ave
Suite 100
Niles, MI 49120-2208
Phone: (269) 684-6696
Fax: (269) 684-5286
Street-level locationGet directions
Mailing address
42 N Saint Joseph Ave
Niles, MI 49120-2203
Other names (DBA / former)
- Doing business as
- Lakeland General Surgery
Registry dates
- Enumerated
- 2010-05-18
- Last updated
- 2016-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.