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RICHARD A WEBBER DBA LAKE CITY PRIMARY CARE
NPI 1164850053
Family Medicine in Plattsburgh, NY

Active since October 31, 2013
16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY 12901(518) 561-8256 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Richard A Webber Dba Lake City Primary Care NPPES

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

RICHARD A WEBBER DBA LAKE CITY PRIMARY CARE (NPI 1164850053) is a healthcare organization registered as a family medicine in Plattsburgh, New York and active in the NPI registry since October 2013. The organization lists Kelley Brault, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164850053
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE CITY PRIMARY CARE PLLC
Location Address16 DEGRANDPRE WAY, SUITE 300Plattsburgh, NY 12901-6451
Mailing Address16 Degrandpre Way, Suite 300Plattsburgh, NY 12901-6451 · (518) 561-8256
Phone(518) 561-8256
Organization SubpartNo
Authorized OfficialKelley BraultOffice Manager · (518) 561-8256
Enumeration DateOctober 31, 2013
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1164850053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 210018
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X · License 210018 (NY)
16 DEGRANDPRE WAY, Plattsburgh, NY 12901
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Other Names 1

Doing Business AsRichard A Webber Dba Lake City Primary Care

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0975420

Lake City Primary Care Associates · Plattsburgh, NY
Expired · Jul 6, 2026
CLIA Number33D0975420
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2024
Certificate Expiration DateJuly 6, 2026
Laboratory DirectorPaula J. Covey
Laboratory Phone(518) 561-8256
Laboratory LocationLake City Primary Care Associates16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DR. PETER J OLIVA M.D.
Surgery (Plastic and Reconstructive Surgery)
16 DEGRANDPRE WAY, SUITE 100
PLATTSBURGH, NY 12901
Clinton County (518) 563-5000
VALCOUR IMAGING LLC
Clinic/Center (Radiology)
16 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 563-1900
DR. GILBERT DESMANGLES MD
Family Medicine
16 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 561-8256
DR. TRACY S ORKIN D.O.
Family Medicine
16 DEGRANDPRE WAY, SUITE 300
PLATTSBURGH, NY 12901
Clinton County (518) 561-8256
DR. RICHARD A WEBBER M.D.
Internal Medicine
16 DEGRANDPRE WAY, SUITE 300
PLATTSBURGH, NY 12901
Clinton County (518) 561-8256
RICHARD WEBBER
Internal Medicine
16 DEGRANDPRE WAY, SUITE 300
PLATTSBURGH, NY 12901
Clinton County (518) 561-8256
LAURA C OLIVA RD, CDN
Dietitian, Registered
16 DEGRANDPRE WAY, SUITE 100
PLATTSBURGH, NY 12901
Clinton County (518) 563-5000
PAMELA CARROLL
Developmental Therapist
16 DEGRANDPRE WAY, SUITE 200
PLATTSBURGH, NY 12901
Clinton County (518) 561-6361

Frequently Asked Questions

What is LAKE CITY PRIMARY CARE PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1164850053, enumerated as an "organization" on October 31, 2013.

Where is the provider located?

The provider is located at 16 DEGRANDPRE WAY SUITE 300 PLATTSBURGH, NY 12901 and the phone number is (518) 561-8256.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.