LAKESHORE FAMILY MEDICINE, P.C.
NPI 1124229489
Clinic/Center - Primary Care in Cicero, NY

Active since May 31, 2007
6221 RTE 31, SUITE 108, CICERO, NY 13039(315) 699-5982(315) 699-7221 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeshore Family Medicine, P.c. NPPES

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

LAKESHORE FAMILY MEDICINE, P.C. (NPI 1124229489) is a healthcare organization registered as a primary care in Cicero, New York and active in the NPI registry since May 2007. The organization lists Clyde Satterly, Md, as its authorized official.

NPPES Registry Identity

NPI1124229489
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKESHORE FAMILY MEDICINE, P.C.
Location Address6221 RTE 31, SUITE 108Cicero, NY 13039
Mailing Address6221 Route 31, Suite 108Cicero, NY 13039 · (315) 699-5982 · Fax (315) 699-7221
Fax(315) 699-7221
Organization SubpartNo
Authorized OfficialClyde SatterlyMd · (315) 699-5982
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1124229489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
6221 RTE 31, Cicero, NY 13039

Other Providers at the Same Location NPPES 3

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

Physical Therapist
6221 RTE 31, STE 103
CICERO, NY 13039
Physical Therapist
6221 RTE 31, STE 103
CICERO, NY 13039
Physical Therapist
6221 RTE 31, STE 103
CICERO, NY 13039

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 Lakeshore Family Medicine, P.C.'s NPI number?

The NPI number for Lakeshore Family Medicine, P.C. is 1124229489. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Lakeshore Family Medicine, P.C. located?

Lakeshore Family Medicine, P.C. is located at 6221 Rte 31 Suite 108, Cicero, NY 13039. The listed phone number is (315) 699-5982.

What is Lakeshore Family Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lakeshore Family Medicine, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.