LAKESIDE FAMILY MEDICINE CONNEAUT LAKE
NPI 1013316553
Non-Pharmacy Dispensing Site in Conneaut Lake, PA

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

The NPI number for Upmc Community Medicine is 1013316553. It was assigned to this organization in the NPPES registry on August 21, 2014. The provider is doing business as Lakeside Family Medicine Conneaut Lake.

Q: What is Upmc Community Medicine's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since August 21, 2014

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

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lakeside Family Medicine Conneaut Lake NPPES

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

LAKESIDE FAMILY MEDICINE CONNEAUT LAKE (NPI 1013316553) is a healthcare organization registered as a non-pharmacy dispensing site in Conneaut Lake, Pennsylvania and active in the NPI registry since August 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1013316553

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameUPMC COMMUNITY MEDICINE

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

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(814) 382-6550

Organization SubpartYesParent: Medvantx, Inc

Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506

Enumeration DateAugust 21, 2014

✔ NPI 1013316553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in PA · OS012755

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

11065 STATE HIGHWAY 18, Conneaut Lake, PA 16316

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Other Names 1

Doing Business AsLakeside Family Medicine Conneaut Lake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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 INC

Family Medicine

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's NPI number?

The NPI number for Upmc Community Medicine is 1013316553. It was assigned to this organization in the NPPES registry on August 21, 2014. The provider is doing business as Lakeside Family Medicine Conneaut Lake.

Where is Upmc Community Medicine located?

Upmc Community Medicine 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's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Upmc Community Medicine accept?

Health plans from Sanford Health Plan list Upmc Community Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Upmc Community Medicine was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.