Lakeside Podiatry, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LAKESIDE PODIATRY, PLLC

Practice address

50 Square Dr Ste 1000
Victor, NY 14564-1062

Phone

(585) 433-5040

Fax

(585) 433-5046

NPI assigned

Nov 2, 2023

Last updated

Nov 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Haselsberger, DPMNPI 1851886527

Title

Owner

Phone

(585) 433-5040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Haselsberger, DPM

  • Podiatrist
  • Rochester, NY
  • NPI 1851886527
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1174396089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SQUARE DR STE 1000",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641062",
            "telephone_number": "585-433-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SQUARE DR STE 1000",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641062",
            "telephone_number": "585-433-5040",
            "fax_number": "585-433-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "HASELSBERGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-433-5040",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Lloyd Kulp, PT
• Brittany E Labore, MS.ED
• Emily Lacosta
• Lake Plastic and Hand Surgery
• Lakeside Foot & Ankle LLC
• Liza Lamberton
• Constantine John Lambropoulos
• Meghan Lang
• Jennifer Lankowsky
• Danielle Larock

• Podiatrist in Victor, NY
• Providers in Victor, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.