LAKESIDE MEMORIAL HOSPITAL INC. – NPI #1942359989
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

LAKESIDE MEMORIAL HOSPITAL INC. is a provider located in BROCKPORT, NY. NPPES has assigned the NPI number 1942359989 to LAKESIDE MEMORIAL HOSPITAL INC. on January 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. LAKESIDE MEMORIAL HOSPITAL INC. is also known by the name LAKESIDE PHYSICIAN GROUP. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Mar 25, 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 MEMORIAL HOSPITAL INC. below.

NPI Profile for
LAKESIDE MEMORIAL HOSPITAL INC.

NPI Number
1942359989
Enumeration Date

(more than 19 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 MEMORIAL HOSPITAL INC.
Other Name: LAKESIDE PHYSICIAN GROUP
Primary location
156 WEST AVE
BROCKPORT, NY 14420
Phone: (585) 395-6095 Fax: (585) 395-6084
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHELLE KINGDOLLAR
ACCOUNTS RECEIVABLE MANAGER
Phone: (585) 395-6095
Updated
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
208D00000X
- General Practice (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.