Active NPI
Lakes Region Urology, PA
- Ambulatory Surgical Clinic/Center
- Laconia, NH
National Provider Identifier
1326198102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 03021
- Legal business name
- LAKES REGION UROLOGY, PA
- Practice address
- 85 Spring St
Laconia, NH 03246-3113 - Phone
- (603) 524-8660
- Fax
- (603) 528-6220
- NPI assigned
- Jan 12, 2007
- Last updated
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel James Patrisso, M.D
- Title
- Owner
- Phone
- (603) 524-8660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 03021 | NH | Primary |
| Specialist | 174400000X | 7001 | NH |
Addresses
Primary practice location
85 Spring St
Laconia, NH 03246-3113
Mailing address
85 Spring St
Laconia, NH 03246-3113
Phone (603) 524-8660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000655 | Medicaid | NH | |
| 1805036Y0NH01 | Other | NH | ANTHEM ASC BILLING ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Urology Physician
- Laconia, NH
- NPI 1518933589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1326198102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SPRING ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463113",
"telephone_number": "603-524-8660",
"fax_number": "603-528-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SPRING ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463113",
"telephone_number": "603-524-8660",
"fax_number": "603-528-6220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES REGION UROLOGY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "PATRISSO",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-524-8660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NH",
"license": "03021",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NH",
"license": "7001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000655",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ASC BILLING ID",
"identifier": "1805036Y0NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
- Lakes Region Community Services Council
- Lakes Region Partnership for Public Health (Partnership for Public Health)
- Lakes Region Pathology Associates, PA
- Lakes Region Radiology PA
- Lakes Region Urology PA
- Michael Lambert
- Cari Land, LMT
- Erwin Lange, MD
- Katherine Songco Lapid, PHYSICAL THERAPIST
- Daniel Lapidus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.