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

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

Active since October 31, 2013CLIA 33D0975420 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through July 6, 2028 and 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
Open in Google Maps ↗

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
Active · expires Jul 6, 2028
CLIA Number33D0975420
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
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
BRITTANY DUBAY OTR
Specialist
16 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 561-6361
PAMELA CARROLL
Developmental Therapist
16 DEGRANDPRE WAY, SUITE 200
PLATTSBURGH, NY 12901
Clinton County (518) 561-6361
SANDRA TROMBLEY
Specialist
16 DEGRANDPRE WAY, SUITE 200
PLATTSBURGH, NY 12901
Clinton County (518) 561-6361
DR. TRACY S ORKIN D.O.
Family Medicine
16 DEGRANDPRE WAY, SUITE 300
PLATTSBURGH, NY 12901
Clinton County (518) 561-8256
DR. GILBERT DESMANGLES MD
Family Medicine
16 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 561-8256
PAULA J GEORGE FNP
Nurse Practitioner (Family)
16 DEGRANDPRE WAY, SUITE 300
PLATTSBURGH, NY 12901
Clinton County (518) 561-8256
AMANDA SMITH
Specialist
16 DEGRANDPRE WAY, SUITE 200
PLATTSBURGH, NY 12901
Clinton County (518) 561-6361

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 City Primary Care PLLC's NPI number?

The NPI number for Lake City Primary Care PLLC is 1164850053. It was assigned to this organization in the NPPES registry on October 31, 2013. The provider is doing business as Richard A Webber Dba Lake City Primary Care.

Where is Lake City Primary Care PLLC located?

Lake City Primary Care PLLC is located at 16 Degrandpre Way Suite 300, Plattsburgh, NY 12901. The listed phone number is (518) 561-8256.

What is Lake City Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lake City Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0975420) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake City Primary Care PLLC was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.