LAKESIDE SURGERY PA – NPI #1831468800
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

LAKESIDE SURGERY PA is a surgeon located in ROCKWALL, TX. NPPES has assigned the NPI number 1831468800 to LAKESIDE SURGERY PA on December 21, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 8 years ago on Jun 20, 2018. 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 SURGERY PA below.

NPI Profile for
LAKESIDE SURGERY PA

NPI Number
1831468800
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE SURGERY PA
Primary location
4450 TUBBS RD
ROCKWALL, TX 75032-6308
Phone: (972) 772-3290 Fax: (972) 722-3815
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERRI PHILLIP
PRACTICE MANAGER
Phone: (972) 722-3290
Updated
Identifiers

Identifiers for LAKESIDE SURGERY PA

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERNPI #TX1952393415
OTHERNPI #TX1326097676
OTHERSTATE LICENSETXP6593
OTHERTX LICENSETXJ2983
OTHERTX LICENSETXK6483
Taxonomy Code(s)

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
208600000X
- Surgery (Primary)
TX J2983

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.