Lakeshore Hand Surgery PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LAKESHORE HAND SURGERY PLLC

Practice address

120 Zephyr Rd
Williston, VT 05495-7558

Phone

(802) 662-2272

NPI assigned

Mar 29, 2019

Last updated

Jul 24, 2019By 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

Denise Durant, MDNPI 1184655805

Title

MD

Phone

(802) 734-8240

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 2

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.

• Denise M Durant, M.D.

  • Orthopaedic Surgery Physician
  • Williston, VT
  • NPI 1184655805
  Medicare reassignment NPD Authorized official
• Andrew J Haig, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ann Arbor, MI
  • NPI 1770665655
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1194286245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 EVERBREEZE DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054461760",
            "telephone_number": "802-734-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ZEPHYR RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957558",
            "telephone_number": "802-662-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE HAND SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "802-734-8240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013801",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Subhash Raj Krishnaraaj, DDS
• Brynn Kusiak, PT
• Ilya Kvartin, DMD
• Elizabeth R Ladd, RN
• Smita Lahoti, M.B.B.S.
• Michael L Landsberg, ATC
• Carolyn Christina Larabee, BCBA, LBA
• Michele Diane Lareau, PA-C
• Amanda Lynn Larose
• Paula Larose, PT

• Orthopaedic Surgery Physician in Williston, VT
• Providers in Williston, VT by specialty
• Orthopaedic Surgery Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.