Lakeshore Surgical Practice, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

LAKESHORE SURGICAL PRACTICE, PC

Practice address

156 West Ave
Brockport, NY 14420-1229

Phone

(315) 986-7882

Fax

(315) 986-4768

NPI assigned

Nov 10, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth F Platt

Title

Billing Supervisor

Phone

(315) 986-7882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1801173448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "315-986-7882",
            "fax_number": "315-986-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "315-986-7882",
            "fax_number": "315-986-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE SURGICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "315-986-7882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rob Seth Kleinberg, PT
• Julie Ann Knapp, R.N.
• Nicole L Knickerbocker, LPN
• Matthew Kovaleski, PT, DPT
• Adam Krahmer, D.P.T.
• Lakeside Anesthesia PLLC
• Lakeside Beikirch Care Center, Inc.
• Lakeside Health System
• Lakeside Health System Medical Services
• Lakeside Hospital Internal Medicine Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.