Lakeshore Family Medicine Assoc PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

154802 Issued in NY

Legal business name

LAKESHORE FAMILY MEDICINE ASSOC PC

Practice address

7060 Erie Rd
Derby, NY 14047-9306

Phone

(716) 947-0408

Fax

(716) 947-0413

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Craig K Maclean, DONPI 1588667893

Title

President

Phone

(716) 947-4851

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 15

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

• Sarah Beth Celia, FNP-BC

  • Family Medicine Physician
  • Derby, NY
  • NPI 1154152023
  Medicare reassignment Care Compare group NPD
• Tariq A Sheikh, MD

  • Family Medicine Physician
  • Derby, NY
  • NPI 1891799656
  Medicare reassignment Care Compare group NPD
• Angel M Szkutak, P.A.

  • Physician Assistant
  • Derby, NY
  • NPI 1407129109
  Medicare reassignment Care Compare group
• Morris M Cavalieri, MD

  • Family Medicine Physician
  • Derby, NY
  • NPI 1114921947
  Medicare reassignment NPD
• Sunghoon Jung, FNP-C

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1184209686
  Medicare reassignment NPD
• Debbie Opoku

  • Family Nurse Practitioner
  • Derby, NY
  • NPI 1720622046
  Medicare reassignment NPD
• Henna M Patel, MD

  • Family Medicine Physician
  • Derby, NY
  • NPI 1477887560
  Medicare reassignment NPD
• Miranda Ring, FNP

  • Family Nurse Practitioner
  • Derby, NY
  • NPI 1962000307
  Medicare reassignment NPD
• Sarah Elizabeth Scullion, MS, RN, FNP-BC

  • Family Nurse Practitioner
  • Dunkirk, NY
  • NPI 1922624725
  Medicare reassignment NPD
• Craig K Maclean, DO

  • Family Medicine Physician
  • Hamburg, NY
  • NPI 1588667893
  NPD Authorized official
• Erin Kathleen Paone, RPA-C

  • Physician Assistant
  • Depew, NY
  • NPI 1811418825
  Medicare reassignment
• Cassandra Marie Piccione, RPA-C

  • Physician Assistant
  • Niagara Falls, NY
  • NPI 1205110020
  Medicare reassignment

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1295832418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 ERIE RD",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "140479306",
            "telephone_number": "716-947-0408",
            "fax_number": "716-947-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 ERIE RD",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "140479306",
            "telephone_number": "716-947-0408",
            "fax_number": "716-947-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE FAMILY MEDICINE ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MACLEAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-947-4851",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "154802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02288315",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Hrubiak
• J. Sills, Speech-Language Pathology, PLLC
• John Mulawka DO, PC
• Julie Kuster, RN
• Lakeshore Chiropractic Wellness PLLC
• Lakeshore Family Medicine Associates PC
• Debra Sue Longbine, RPA C
• Laura Ann Majkut, RN
• Holly Kathryn Mangus
• Amy Beth Martinez, RN

• Family Medicine Physician in Derby, NY
• Providers in Derby, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.