LAKESIDE FAMILY MEDICINE-UPMC
NPI 1003228172
Family Medicine in Conneaut Lake, PA

Q: What is Upmc Community Medicine Inc's NPI number?

The NPI number for Upmc Community Medicine Inc is 1003228172. It was assigned to this organization in the NPPES registry on May 23, 2014. The provider is also known as Lakeside Family Medicine-Upmc.

Q: What is Upmc Community Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 23, 2014

11065 STATE HIGHWAY 18, SUITE 1, CONNEAUT LAKE, PA 16316(814) 382-6550 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakeside Family Medicine-upmc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE FAMILY MEDICINE-UPMC (NPI 1003228172) is a healthcare organization registered as a family medicine in Conneaut Lake, Pennsylvania and active in the NPI registry since May 2014. The organization lists Mark Ehalt, Sr.director, as its authorized official.

NPPES Registry Identity

NPI1003228172

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameUPMC COMMUNITY MEDICINE INC

Location Address11065 STATE HIGHWAY 18, SUITE 1Conneaut Lake, PA 16316-3569

Mailing Address11065 State Highway 18, Suite 1Conneaut Lake, PA 16316-3569 · (814) 382-6550

Phone(814) 382-6550

Organization SubpartNo

Authorized OfficialMark EhaltSr.director · (412) 647-0943

Enumeration DateMay 23, 2014

✔ NPI 1003228172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11065 STATE HIGHWAY 18, Conneaut Lake, PA 16316

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Other Names 1

Other NameLakeside Family Medicine-upmc

Other Identifiers 1

Medicare PIN042490PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UPMC COMMUNITY MEDICINE

Non-Pharmacy Dispensing Site

11065 STATE HIGHWAY 18, SUITE 1
CONNEAUT LAKE, PA 16316

Crawford County (814) 382-6550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upmc Community Medicine Inc's NPI number?

The NPI number for Upmc Community Medicine Inc is 1003228172. It was assigned to this organization in the NPPES registry on May 23, 2014. The provider is also known as Lakeside Family Medicine-Upmc.

Where is Upmc Community Medicine Inc located?

Upmc Community Medicine Inc is located at 11065 State Highway 18 Suite 1, Conneaut Lake, PA 16316. The listed phone number is (814) 382-6550.

What is Upmc Community Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Upmc Community Medicine Inc was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.