Lakeside Memorial Hospital Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LAKESIDE MEMORIAL HOSPITAL INC.

Practice address

156 West Ave
Brockport, NY 14420-1229

Phone

(585) 395-6065

Fax

(585) 395-6018

NPI assigned

Mar 2, 2010

Organization subpart

Yes

Parent organization

LAKESIDE MEMORIAL HOSPITAL INC.As reported in NPPES

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

Authorized official

Name

Randi L Maloney

Title

Biller

Phone

(585) 395-6095

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Orthopaedics Other name

Part of

Internal Medicine at Lakeside

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1316260623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-395-6065",
            "fax_number": "585-395-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-395-6065",
            "fax_number": "585-395-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MEMORIAL HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKESIDE MEMORIAL HOSPITAL INC.",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "585-395-6095"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Orthopaedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lakeside Health System
• Lakeside Health System Medical Services
• Lakeside Hospital Internal Medicine Group
• Lakeside Imaging, LLC
• Lakeside Memorial Hospital Inc
• Lakeside Memorial Hospital Inc.
• Lakeside Memorial Hospital Inc.
• Lakeside Memorial Hospital Inc.
• Lakeside Memorial Hospital Inc.
• Lakeside Memorial Hospital Inc.

• Orthopaedic Surgery Physician in Brockport, NY
• Providers in Brockport, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.