Active NPI
Lakes Region Surgical Associates, PC
- Surgery Physician
- Gilford, NH
National Provider Identifier
1033289269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- LAKES REGION SURGICAL ASSOCIATES, PC
- Practice address
- 25 Country Club Rd
Village West, Building 7
Gilford, NH 03249-6972 - Phone
- (603) 528-1547
- Fax
- (603) 524-5536
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicola Shafique
- Title
- Office Manager
- Phone
- (603) 528-1547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NH | Primary |
Addresses
Primary practice location
25 Country Club Rd
Village West, Building 7
Gilford, NH 03249-6972
Mailing address
PO Box 1328
Auburn, ME 04211-1328
Phone (207) 784-9185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30009820 | Medicaid | NH |
National Provider Directory
National Provider DirectoryLocations
25 Country Club Rd
Bldg 7
Gilford, NH 03249
Phone (603) 528-1547
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Concord, NH
- NPI 1922423284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1033289269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1328",
"city": "AUBURN",
"state": "ME",
"postal_code": "042111328",
"telephone_number": "207-784-9185",
"fax_number": "207-784-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COUNTRY CLUB RD",
"address_2": "VILLAGE WEST, BUILDING 7",
"city": "GILFORD",
"state": "NH",
"postal_code": "032496972",
"telephone_number": "603-528-1547",
"fax_number": "603-524-5536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES REGION SURGICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SHAFIQUE",
"authorized_official_first_name": "NICOLA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "603-528-1547"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30009820",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilford, NH
- Laconia Eye Associates PA (dba: Laconia Eye & Laser Center)
- Laconia Eye Associates PA (Laconia Eye & Laser Center Optical Shop)
- Lakes Region Dental Care PLLC
- Lakes Region Dental Implant and Oral Surgery Center, P.a.
- Lakes Region Opticians, Inc
- Connor John Lane
- Donna Marie Lang-Rice, PT
- Albert L Langley Jr.
- Renee Ann Legro, CCC-SLP
- Jill Leonard
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.