Lake Champlain Cardiology Associates

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES

Practice address

52 Tom Miller Rd
Plattsburgh, NY 12901-1252

Phone

(518) 563-2404

Fax

(518) 563-4033

NPI assigned

May 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joel Marc Wolkowicz, MDNPI 1720091861

Title

Physician Administrator

Phone

(518) 563-2404

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Marc Wolkowicz, MD

  • Cardiovascular Disease Physician
  • Plattsburgh, NY
  • NPI 1720091861
  NPD Authorized official
• Brent Wood Hastings, MD

  • Cardiovascular Disease Physician
  • Plattsburgh, NY
  • NPI 1902819030
  NPD
• David Lawrence Sable, MD

  • Cardiovascular Disease Physician
  • Plattsburgh, NY
  • NPI 1588677611
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1114970118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011252",
            "telephone_number": "518-563-2404",
            "fax_number": "518-563-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011252",
            "telephone_number": "518-563-2404",
            "fax_number": "518-563-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHAMPLAIN CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "WOLKOWICZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PHYSICIAN ADMINISTRATOR",
        "authorized_official_telephone_number": "518-563-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Laforest, PA-C
• Bernadette Rosaria Laforest
• Elizabeth Laforest, R.N.
• Mackenzie R Lahue
• Deborah Jean Lajti, TSHH, SLP-CCC
• Lake Champlain Dentistry PC
• Lake Champlain Imaging PLLC
• Lake Champlain OB/GYN, PC
• Lake Champlain Physician Services
• Lake City Primary Care PLLC

• Cardiovascular Disease Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.