Lakeside Urgent Care Center

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

LAKESIDE URGENT CARE CENTER

Practice address

42 Nichols Street
Suite 1
Spencerport, NY 14559

Phone

(585) 349-7094

NPI assigned

Sep 14, 2009

Organization subpart

Yes

Parent organization

LAKESIDE MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Michael Stapleton

Title

Ceo

Phone

(585) 395-6095

Specialties & licenses 2

Addresses

Part of

Internal Medicine at Lakeside

Locations

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1184957755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NICHOLS STREET",
            "address_2": "SUITE 1",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "14559",
            "telephone_number": "585-349-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 NICHOLS STREET",
            "address_2": "SUITE 1",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "14559",
            "telephone_number": "585-349-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE URGENT CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKESIDE MEMORIAL HOSPITAL",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-395-6095"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Ann Kleehammer, LPN
• Steven Kleinhammer, DPT
• Gail Marie Knab
• Matthew Donald Kois, LMHC
• Teresa Kopp, PT
• Janet Lalonde-Mears, OTR/L
• Christine Sara Landers, BIRTH DOULA
• Matthew W Larson, PHARMD
• Cynthia Ann Lawrence, RN, MS, PNP-BC
• Nicole Louise Leathersich, RN

• Emergency Medicine Physician in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.