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LAKESIDE MEDICAL GROUP, PC
NPI 1386769180
Family Medicine in Oxford, MI

Active since March 20, 2007
72 S WASHINGTON ST, SUITE 202, OXFORD, MI 48371(248) 628-0220(248) 628-0226 Get Directions Write a Review

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

About Lakeside Medical Group, Pc NPPES

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

LAKESIDE MEDICAL GROUP, PC (NPI 1386769180) is a healthcare organization registered as a family medicine in Oxford, Michigan and active in the NPI registry since March 2007. The organization lists Steven L Hartz, President, as its authorized official.

NPPES Registry Identity

NPI1386769180
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESIDE MEDICAL GROUP, PC
Location Address72 S WASHINGTON ST, SUITE 202Oxford, MI 48371-4973
Mailing Address72 S Washington St, Suite 202Oxford, MI 48371-4973 · (248) 628-0220 · Fax (248) 628-0226
Phone(248) 628-0220
Fax(248) 628-0226
Organization SubpartNo
Authorized OfficialSteven L HartzPresident · (248) 628-0220
Enumeration DateMarch 20, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1386769180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · SH007361
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.
72 S WASHINGTON ST, Oxford, MI 48371
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Other Identifiers 6

Other0856300954MI · Blue Cross Blue Shield Of Michigan
Medicaid291878311MI
Medicare PIN0M60200MI
Other207Q00000XMI · Taxonomy
Medicare PIN0M60200001MI
Medicare UPINE26740MI

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

Other Providers at the Same Location NPPES 12

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

KENNETH MICHAEL WALTER NP-C
Nurse Practitioner (Family)
72 S WASHINGTON ST, SUITE 102
OXFORD, MI 48371
Oakland County (248) 236-8333
JILLIAN N PETKUS FNP-BC
Nurse Practitioner (Family)
72 S WASHINGTON ST
OXFORD, MI 48371
Oakland County (248) 236-8333
DANIA DEMASHKIEH
Pharmacist
72 S WASHINGTON ST
OXFORD, MI 48371
Oakland County (248) 628-7990
GLENNAN MEDICAL GROUP PC
Internal Medicine
72 S WASHINGTON ST, SUITE 204
OXFORD, MI 48371
Oakland County (248) 628-2233
SARAH ELIZABETH GIROUX PT
Physical Therapist
72 S WASHINGTON ST, SUITE 106
OXFORD, MI 48371
Oakland County (248) 460-1572
OXFORD URGENT CARE, LLC
Internal Medicine
72 S WASHINGTON ST, SUITE 102
OXFORD, MI 48371
Oakland County (248) 236-8333
DR. SHERYL A WISSMAN MD
Internal Medicine
72 S WASHINGTON ST, SUITE 204
OXFORD, MI 48371
Oakland County (248) 628-2233
MR. LAWRENCE MICHAEL OSHIER M.A.
Psychologist (Clinical)
72 S WASHINGTON ST, SUITE 206
OXFORD, MI 48371
Oakland County (248) 693-4629

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 Lakeside Medical Group, PC's NPI number?

The NPI number for Lakeside Medical Group, PC is 1386769180. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Lakeside Medical Group, PC located?

Lakeside Medical Group, PC is located at 72 S Washington St Suite 202, Oxford, MI 48371. The listed phone number is (248) 628-0220.

What is Lakeside Medical Group, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lakeside Medical Group, PC was last updated on June 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.