Organization Active NPI

Lakes Region Urology, PA

  • Ambulatory Surgical Clinic/Center
  • Laconia, NH
National Provider Identifier
1326198102
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
03021 Issued in NH
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Daniel James Patrisso, M.DNPI 1518933589
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00000655MedicaidNH
1805036Y0NH01OtherNHANTHEM ASC BILLING ID

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.