Lakeshore Orthopedic Group P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LAKESHORE ORTHOPEDIC GROUP P.C.

Practice address

849 RTS 5 & 20
Suite 1
Irving, NY 14081

Phone

(716) 934-3493

NPI assigned

Jul 21, 2009

Organization subpart

No

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

Authorized official

Name

Jason Conant

Title

Practice Administrator

Phone

(716) 366-7150

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1982834271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 RTS 5 & 20",
            "address_2": "SUITE 1",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "14081",
            "telephone_number": "716-934-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 RTS 5 & 20",
            "address_2": "SUITE 1",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "14081",
            "telephone_number": "716-934-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE ORTHOPEDIC GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "CONANT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "716-366-7150"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Christopher Kloc, P.T.
• Corinne P Krist, D.O.
• Lake Shore Child Care Center, Inc
• Lake Shore Nursing Home
• Lakeshore Medical Care, PC
• Kelsey Marie Lay
• Elizabeth Ann Lyboult, PHARM. D.
• Nicole Maciejewski, PTA
• Robert Mann, PMHNP
• Gloria M Maurer, LPN

• Orthopaedic Surgery Physician in Irving, NY
• Providers in Irving, 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 Jan 25, 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.