LAKESIDE NEUROCARE
NPI 1083048730
Psychiatry & Neurology - Neurology in Oshkosh, WI

Q: What is Lakeside Neurocare's NPI number?

The NPI number for Lakeside Neurocare is 1083048730. It was assigned to this organization in the NPPES registry on August 29, 2013.

Q: What is Lakeside Neurocare's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since August 29, 2013

855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 223-5580(920) 223-3580 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lakeside Neurocare NPPES

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

LAKESIDE NEUROCARE (NPI 1083048730) is a healthcare organization registered as a neurology in Oshkosh, Wisconsin and active in the NPI registry since August 2013. The organization lists Susan M Golden, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1083048730

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameLAKESIDE NEUROCARE

Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668

Mailing Address2700 W 9th Ave Ste 225Oshkosh, WI 54904-7865 · (920) 223-5580 · Fax (920) 223-3580

Phone(920) 223-5580

Fax(920) 223-3580

Organization SubpartNo

Authorized OfficialSusan M GoldenBusiness Manager · (920) 223-5582

Enumeration DateAugust 29, 2013

✔ NPI 1083048730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

855 N WESTHAVEN DR, Oshkosh, WI 54904

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Other Identifiers 2

Medicare PINW12674WI

Medicaid32820600WI

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 20

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

JACQUELINE ANN OTS PENDING

Nurse Practitioner