LAKE ERIE MEDICAL SERVICES, PC
NPI 1437406931
Anesthesiology in Fredonia, NY

Active since August 14, 2012CLIA 33D2348982 · Waiver
268 W MAIN ST, SUITE 2, FREDONIA, NY 14063(716) 672-2000(716) 672-4414 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake Erie Medical Services, Pc NPPES

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

LAKE ERIE MEDICAL SERVICES, PC (NPI 1437406931) is a healthcare organization registered as an anesthesiology in Fredonia, New York and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Marlene Hassenfratz, President, as its authorized official.

NPPES Registry Identity

NPI1437406931
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameLAKE ERIE MEDICAL SERVICES, PC
Location Address268 W MAIN ST, SUITE 2Fredonia, NY 14063-2200
Mailing Address268 W Main St, Suite 2Fredonia, NY 14063-2200 · (716) 672-2000 · Fax (716) 672-4414
Fax(716) 672-4414
Organization SubpartNo
Authorized OfficialMarlene HassenfratzPresident · (716) 672-2000
Enumeration DateAugust 14, 2012
Last NPPES UpdateJanuary 13, 2023
NPPES CertifiedJanuary 13, 2023
✔ NPI 1437406931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 1942462940
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
268 W MAIN ST, Fredonia, NY 14063

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Erie Medical Services, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Lake Erie Medical Services, PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

General Surgery2
Nurse Practitioner2
Orthopedic Surgery2
Family Practice1
Gastroenterology1
Medical Oncology1
Physical Medicine and Rehabilitation1
Qualified Speech Language Pathologist1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1235476219
268 W MAIN ST STE 2
Fredonia, NY 14063
(716) 672-2000
✔ PECOS✔ Accepts Medicare1.2 mi
Medical Oncology
NPI 1740272459
617 CENTRAL AVE
Dunkirk, NY 14048
(716) 366-1223
✔ PECOS✔ Accepts Medicare2.4 mi
General Surgery
NPI 1720179872
419 CENTRAL AVE
Dunkirk, NY 14048
(716) 672-2000
✔ PECOS✔ Accepts Medicare2.7 mi
Physical Medicine and Rehabilitation
NPI 1639705510
419 CENTRAL AVE
Dunkirk, NY 14048
(718) 780-3000
✔ PECOS✔ Accepts Medicare2.7 mi
Qualified Speech Language Pathologist
NPI 1639480155
845 RTS 5 & 20
Irving, NY 14081
(716) 951-7083
✔ Accepts Medicare13 mi
Family Practice
NPI 1851360606
95 E CHAUTAUQUA ST
Mayville, NY 14757
(716) 753-7107
✔ PECOS✔ Accepts Medicare16 mi
Gastroenterology
NPI 1265471619
15 S MAIN ST SUITE 160
Jamestown, NY 14701
(716) 484-7107
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1609045343
701 SENECA ST STE 646C
Buffalo, NY 14210
(716) 995-4450
✔ PECOS✔ Accepts Medicare38 mi
General Surgery
NPI 1871570911
68 HARRIS BUSHVILLE ROAD
Harris, NY 12742
(845) 794-0996
✔ PECOS✔ Accepts Medicare241 mi
Orthopedic Surgery
NPI 1326468307
6555 WOODHAVEN BLVD
Rego Park, NY 11374
(718) 255-6615
✔ PECOS✔ Accepts Medicare307 mi
Orthopedic Surgery
NPI 1801107289
214 HOSPITAL RD
Whitesburg, KY 41858
(606) 633-6870
✔ PECOS✔ Accepts Medicare412 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2348982

Lake Erie Medical Services PC · Fredonia, NY
Active · expires Mar 26, 2027
CLIA Number33D2348982
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Alexander Z. Selioutski
Laboratory Phone(716) 672-2000
Laboratory LocationLake Erie Medical Services PC268 W Main St - Ste 2, Fredonia, NY 14063
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Erie Medical Services, PC's NPI number?

The NPI number for Lake Erie Medical Services, PC is 1437406931. It was assigned to this organization in the NPPES registry on August 14, 2012.

Where is Lake Erie Medical Services, PC located?

Lake Erie Medical Services, PC is located at 268 W Main St Suite 2, Fredonia, NY 14063. The listed phone number is (716) 672-2000.

What is Lake Erie Medical Services, PC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Lake Erie Medical Services, PC enrolled in Medicare?

Yes. Lake Erie Medical Services, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Erie Medical Services, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians reassign their Medicare billing to Lake Erie Medical Services, PC, in Family Practice, Gastroenterology, General Surgery, Medical Oncology, Nurse Practitioner and 3 other specialties. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lake Erie Medical Services, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2348982) is associated with this NPI, valid through March 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 Lake Erie Medical Services, PC was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.