OrganizationActive
Lakeland Anesthesia, PC
NPI 1396383204 · Anesthesiology Physician · Saint Joseph, MI
Provider details
- NPI number
- 1396383204
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Dillon, Executive Director(616) 284-3100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone: (616) 364-4200
Street-level locationGet directions
Mailing address
3333 Evergreen Dr Ne
Grand Rapids, MI 49525-9493
Other names (DBA / former)
- Doing business as
- Lakeland Anesthesia, PC
Additional practice locations (1)
- 3333 Evergreen Dr NeGrand Rapids, MI 49525-9493Phone: (616) 364-4200
Registry dates
- Enumerated
- 2019-12-11
- Last updated
- 2019-12-11
- Certified
- 2019-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.