LAKESIDE PEDIATRICS – NPI #1427223783
Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
LAKESIDE PEDIATRICS is a provider located in KENOSHA, WI. NPPES has assigned the NPI number 1427223783 to LAKESIDE PEDIATRICS on April 28, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKESIDE PEDIATRICS” is a dba name, the actual legal business name for this organization is CHILDREN'S MEDICAL GROUP. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.
The NPI profile was previously updated about 15 years ago on Nov 30, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE PEDIATRICS below.
NPI Profile for
CHILDREN'S MEDICAL GROUP
(more than 18 years ago)
SUITE 101
KENOSHA, WI 53142-8200 Phone: (262) 652-9430 Fax: (262) 652-9433
MS 958
MILWAUKEE, WI 53226-4874 Phone: (414) 266-7615 Fax: (414) 266-1853
PRESIDENT, CHILDREN'S MEDICAL GROUP
Phone: (414) 266-7615
Identifiers for LAKESIDE PEDIATRICS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | WI | 21260600 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208000000X - Pediatrics (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.