Lakeside Ear, Nose, & Throat Physicians, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

LAKESIDE EAR, NOSE, & THROAT PHYSICIANS, PC

Practice address

17030 Lakeside Hills PLZ
Ste. 204
Omaha, NE 68130-2396

Phone

(402) 758-5600

Fax

(402) 758-5169

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

James V Huerter, M.D.NPI 1225071681

Title

President

Phone

(402) 758-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• James V Huerter Jr., MD

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1225071681
  NPD (past) Authorized official
• Ann Edmunds, MD

  • Pediatric Otolaryngology Physician
  • Omaha, NE
  • NPI 1417995192
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1780746552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 LAKESIDE HILLS PLZ",
            "address_2": "STE. 204",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302396",
            "telephone_number": "402-758-5600",
            "fax_number": "402-758-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 LAKESIDE HILLS PLZ",
            "address_2": "STE. 204",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302396",
            "telephone_number": "402-758-5600",
            "fax_number": "402-758-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE EAR, NOSE, & THROAT PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "HUERTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-758-5600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201904",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Lake
• Jay Lake, CRNA
• Stephanie Louise Lake, D.D.S.
• Lakeside Ambulatory Surgical Center LLC
• Lakeside Chiropractic Specialists
• Lakeside Endoscopy Center LLC
• Lakeside Orthopedics PC
• Lakeside Orthopedics, PC.
• Brock Lakin
• Savannah Lakin

• Otolaryngology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Otolaryngology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.