Lake Plains Medical PLLC
Organization Active NPI Internal Medicine Physician · Medina, NY
NPI 1508920117 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1508920117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- LAKE PLAINS MEDICAL PLLC
- Practice address
- 100 Ohio St
Medina, NY 14103 - Phone
- (585) 798-3345
- Fax
- (585) 798-3416
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Thomas J Madejski, MD
- Title
- Medical Director Owner
- Phone
- (585) 798-3345
National Provider Directory
Locations
100 Ohio St
#8086
Medina, NY 14103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
100 Ohio St
Medina, NY 14103
Mailing address
100 Ohio St
Medina, NY 14103
Phone (585) 798-3345
Other providers in Medina, NY
- Ian Michael Kennedy
- Jessica Kim
- Jill E Klotzbach
- Tanya M Kopp
- Steven G Kratoville
- Wendy Lamirand
- Molly E Lane
- Dana Jo Larkin
- Michelle L Leffler
- Lesly Germain MD PC
All providers in Medina, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.