Lakeside Anesthesia PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LAKESIDE ANESTHESIA PLLC

Practice address

156 West Ave
Suite 201
Brockport, NY 14420-1229

Phone

(585) 395-6095

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Scott BerryNPI 1225051444

Title

President MD

Phone

(585) 395-6095

Specialties & licenses 1

Addresses

Practitioners 3

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

• Scott F Berry, DO

  • Anesthesiology Physician
  • Brockport, NY
  • NPI 1225051444
  NPD (past) Authorized official
• James Thomas Deuel, MD

  • Anesthesiology Physician
  • Rochester, NY
  • NPI 1821062381
  NPD
• Christopher Edward Werth, MD

  • Anesthesiology Physician
  • Rochester, NY
  • NPI 1881617009
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447455985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579226",
            "telephone_number": "315-362-5129",
            "fax_number": "315-362-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "address_2": "SUITE 201",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-395-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT MD",
        "authorized_official_telephone_number": "585-395-6095"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Knapp, R.N.
• Nicole L Knickerbocker, LPN
• Matthew Kovaleski, PT, DPT
• Adam Krahmer, D.P.T.
• Lakeshore Surgical Practice, PC
• Lakeside Beikirch Care Center, Inc.
• Lakeside Health System
• Lakeside Health System Medical Services
• Lakeside Hospital Internal Medicine Group
• Lakeside Imaging, LLC

• Anesthesiology Physician in Brockport, NY
• Providers in Brockport, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.