1. Home
  2. Directory
  3. New York
  4. Plattsburgh
  5. Internal Medicine
  6. NPI Profile

LAKE CHAMPLAIN PHYSICIAN SERVICES
NPI 1083915268
Internal Medicine in Plattsburgh, NY

Active since November 04, 2010
210 CORNELIA ST, SUITE 303, PLATTSBURGH, NY 12901(518) 562-7541(518) 562-7542 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Champlain Physician Services NPPES

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

LAKE CHAMPLAIN PHYSICIAN SERVICES (NPI 1083915268) is a healthcare organization registered as an internal medicine in Plattsburgh, New York and active in the NPI registry since November 2010. The organization lists Wouter Rietsema, President, as its authorized official.

NPPES Registry Identity

NPI1083915268
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKE CHAMPLAIN PHYSICIAN SERVICES
Location Address210 CORNELIA ST, SUITE 303Plattsburgh, NY 12901-2318
Mailing AddressPo Box 2868Plattsburgh, NY 12901-0259 · (518) 562-7541 · Fax (518) 562-7542
Phone(518) 562-7541
Fax(518) 562-7542
Organization SubpartNo
Authorized OfficialWouter RietsemaPresident · (518) 562-7330
Enumeration DateNovember 4, 2010
✔ NPI 1083915268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
210 CORNELIA ST, Plattsburgh, NY 12901
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

MS. DEBORAH MONROE KAMPSCHROR PA
Physician Assistant (Medical)
210 CORNELIA ST, SUITE 101
PLATTSBURGH, NY 12901
Clinton County (518) 562-7990
KEVIN ALAN GREENE OPTICIAN
Technician/Technologist (Optician)
210 CORNELIA ST, SUITE 302
PLATTSBURGH, NY 12901
Clinton County (515) 561-8820
JACKIE'S ENTERPRISES INC
Durable Medical Equipment & Medical Supplies
210 CORNELIA ST, SUITE 105
PLATTSBURGH, NY 12901
Clinton County (518) 869-1100
DUCK J KIM MD PC
Otolaryngology
210 CORNELIA ST, STE 204
PLATTSBURGH, NY 12901
Clinton County (518) 563-8050
ZBIGNIEW WOLCZYNSKI MD
Internal Medicine
210 CORNELIA ST, SUITE 404
PLATTSBURGH, NY 12901
Clinton County (518) 562-7337
ROBERT I. ADLER, M.D.,P.C.
Technician/Technologist (Optician)
210 CORNELIA ST, SUITE 302
PLATTSBURGH, NY 12901
Clinton County (518) 561-8820
DR. KAREN B GRUNEWALD APRN
Nurse Practitioner (Adult Health)
210 CORNELIA ST, SUITE 101
PLATTSBURGH, NY 12901
Clinton County (518) 562-7990
DR. TIMOTHY JOEL GARRAND MD
Internal Medicine (Cardiovascular Disease)
210 CORNELIA ST, STE 101
PLATTSBURGH, NY 12901
Clinton County (518) 562-7990

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 Champlain Physician Services's NPI number?

The NPI number for Lake Champlain Physician Services is 1083915268. It was assigned to this organization in the NPPES registry on November 4, 2010.

Where is Lake Champlain Physician Services located?

Lake Champlain Physician Services is located at 210 Cornelia St Suite 303, Plattsburgh, NY 12901. The listed phone number is (518) 562-7541.

What is Lake Champlain Physician Services'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 Champlain Physician Services was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.