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LAKE SHORE PHYSICIAN PA
NPI 1003823717
Internal Medicine in Pasadena, MD

Active since August 02, 2006
4231 POSTAL COURT, PASADENA, MD 21122(410) 432-3200(410) 437-9402 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake Shore Physician Pa NPPES

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

LAKE SHORE PHYSICIAN PA (NPI 1003823717) is a healthcare organization registered as an internal medicine in Pasadena, Maryland and active in the NPI registry since August 2006. The organization lists Carl Thomas Folkemer, President, as its authorized official.

NPPES Registry Identity

NPI1003823717
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKE SHORE PHYSICIAN PA
Location Address4231 POSTAL COURTPasadena, MD 21122
Mailing Address4231 Postal CourtPasadena, MD 21122 · (410) 432-3200 · Fax (410) 437-9402
Phone(410) 432-3200
Fax(410) 437-9402
Organization SubpartNo
Authorized OfficialCarl Thomas FolkemerPresident · (410) 437-3200
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003823717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D14751
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4231 POSTAL COURT, Pasadena, MD 21122
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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

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 Lake Shore Physician PA's NPI number?

The NPI number for Lake Shore Physician PA is 1003823717. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Lake Shore Physician PA located?

Lake Shore Physician PA is located at 4231 Postal Court, Pasadena, MD 21122. The listed phone number is (410) 432-3200.

What is Lake Shore Physician PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Lake Shore Physician PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.