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

LAKESHORE FAMILY MEDICINE ASSOC PC
NPI 1295832418
Family Medicine in Derby, NY

Active since September 20, 2006CLIA 33D0928737 · Waiver
7060 ERIE RD, DERBY, NY 14047(716) 947-0408(716) 947-0413 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeshore Family Medicine Assoc Pc NPPES

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

LAKESHORE FAMILY MEDICINE ASSOC PC (NPI 1295832418) is a healthcare organization registered as a family medicine in Derby, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Craig K Maclean, President, as its authorized official.

NPPES Registry Identity

NPI1295832418
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESHORE FAMILY MEDICINE ASSOC PC
Location Address7060 ERIE RDDerby, NY 14047-9306
Mailing Address7060 Erie RdDerby, NY 14047-9306 · (716) 947-0408 · Fax (716) 947-0413
Phone(716) 947-0408
Fax(716) 947-0413
Organization SubpartNo
Authorized OfficialCraig K MacleanPresident · (716) 947-4851
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 30, 2008
✔ NPI 1295832418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 154802
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.
7060 ERIE RD, Derby, NY 14047
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedAA1216NY
Medicaid02288315NY

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

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 33D0928737

Lakeshore Family Medicine · Derby, NY
Active · expires May 26, 2027
CLIA Number33D0928737
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorDr. Tariq A. Sheikh
Laboratory Phone(716) 947-0408
Laboratory LocationLakeshore Family Medicine7060 Erie Road, Suite 100, Derby, NY 14047
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 11

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

SARAH BETH CELIA FNP-BC
Family Medicine
7060 ERIE RD
DERBY, NY 14047
Erie County (716) 947-0408
DENT NEUROLOGIC GROUP, LLP
Psychiatry & Neurology (Neurology)
7060 ERIE RD
DERBY, NY 14047
Erie County (716) 250-2000
ANGEL M SZKUTAK P.A.
Physician Assistant
7060 ERIE RD
DERBY, NY 14047
Erie County (716) 947-0408
ERIC DIBBEN PA
Physician Assistant
7060 ERIE RD
DERBY, NY 14047
Erie County (716) 947-0408
JENNIFER FOLEY
Massage Therapist
7060 ERIE RD
DERBY, NY 14047
Erie County (716) 947-0320
DEBBIE OPOKU
Nurse Practitioner (Family)
7060 ERIE RD
DERBY, NY 14047
Erie County (716) 947-0408
DONALD JORDAN CONRAD D.C.
Chiropractor
7060 ERIE RD, SUITE 300
DERBY, NY 14047
Erie County (716) 947-0139
LAKESHORE FAMILY MEDICINE ASSOCIATES PC
Non-Pharmacy Dispensing Site
7060 ERIE RD, SUITE 100
DERBY, NY 14047
Erie County (716) 947-0408

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 Assoc PC's NPI number?

The NPI number for Lakeshore Family Medicine Assoc PC is 1295832418. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Lakeshore Family Medicine Assoc PC located?

Lakeshore Family Medicine Assoc PC is located at 7060 Erie Rd, Derby, NY 14047. The listed phone number is (716) 947-0408.

What is Lakeshore Family Medicine Assoc PC's specialty?

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

Does Lakeshore Family Medicine Assoc PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0928737) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeshore Family Medicine Assoc PC was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.