Interlakes Orthopaedic Surgery,PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

INTERLAKES ORTHOPAEDIC SURGERY,PC

Practice address

293 W North St
Geneva, NY 14456-1530

Phone

(315) 789-0993

Fax

(315) 789-0281

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James B Mark, MDNPI 1164443545

Title

Partner

Phone

(315) 789-0993

Specialties & licenses 8

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Interlakes Orthopaedic Surgery, PC

  • Durable Medical Equipment & Medical Supplies
  • Clifton Springs, NY
  • NPI 1417191149
  NPPES parent name

Practitioners 17

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

• James B Mark, MD

  • Orthopaedic Surgery Physician
  • Geneva, NY
  • NPI 1164443545
  NPD (past) Authorized official
• Daniel Alexander, MD

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1316984933
  NPD (past)
• Nitin S Banwar, MD

  • Orthopaedic Surgery Physician
  • Geneva, NY
  • NPI 1790702223
  NPD (past)
• James Edward Broderick, DPM

  • Foot Surgery Podiatrist
  • Canandaigua, NY
  • NPI 1093726473
  NPD (past)
• Kevin R Hopson, DPM

  • Podiatrist
  • Canandaigua, NY
  • NPI 1831110360
  NPD (past)
• Lucinda Imhoff, RPA-C

  • Physician Assistant
  • Geneva, NY
  • NPI 1255359147
  NPD (past)
• Jacqueline E Karlsen, NP

  • Nurse Practitioner
  • Geneva, NY
  • NPI 1477597557
  NPD (past)
• Steven D Lasser, MD

  • Orthopaedic Surgery of the Spine Physician
  • Geneva, NY
  • NPI 1750302048
  NPD (past)
• Joseph F Lawson, FNP

  • Nurse Practitioner
  • Geneva, NY
  • NPI 1285656926
  NPD (past)
• Olaf U Lieberg, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Geneva, NY
  • NPI 1417902867
  NPD (past)
• Scott Mattoon, PA

  • Medical Physician Assistant
  • Geneva, NY
  • NPI 1881758217
  NPD (past)
• Thomas G Rodenhouse, MD

  • Neurological Surgery Physician
  • Rochester, NY
  • NPI 1609822485
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1912924713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 W NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561530",
            "telephone_number": "315-789-0993",
            "fax_number": "315-789-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 W NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561530",
            "telephone_number": "315-789-0993",
            "fax_number": "315-789-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLAKES ORTHOPAEDIC SURGERY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-789-0993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01556830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Iddings, LPN
• Mark Anthony Ilko, M.D.
• Lucinda Imhoff, RPA-C
• Inadvance Medicine Associates East
• Deborah Lynn Ingram
• Catherine Bruckner Inzerillo, D.C., A.T.C.
• James Michael Inzerillo, M.D.
• Erica Lynn Iversen, RN
• J. Kent Maurer, OD
• James M. Inzerillo, MD, PLLC

• Orthopaedic Surgery Physician in Geneva, NY
• Providers in Geneva, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.