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LAKESIDE SURGICAL ASSOCIATES, PA
NPI 1487709713
Specialist in Mooresville, NC

Active since January 25, 2007
150 FAIRVIEW RD, SUITE 300, MOORESVILLE, NC 28117(704) 664-6677(704) 663-1009 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Surgical Associates, Pa NPPES

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

LAKESIDE SURGICAL ASSOCIATES, PA (NPI 1487709713) is a healthcare organization registered as a specialist in Mooresville, North Carolina and active in the NPI registry since January 2007. The organization lists Gregory B Hall, President, as its authorized official.

NPPES Registry Identity

NPI1487709713
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKESIDE SURGICAL ASSOCIATES, PA
Location Address150 FAIRVIEW RD, SUITE 300Mooresville, NC 28117-9504
Mailing Address150 Fairview Rd, Suite 300Mooresville, NC 28117-9504 · (704) 664-6677 · Fax (704) 663-1009
Phone(704) 664-6677
Fax(704) 663-1009
Organization SubpartNo
Authorized OfficialGregory B HallPresident · (704) 664-6677
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 6, 2010
✔ NPI 1487709713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 9600335
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
150 FAIRVIEW RD, Mooresville, NC 28117
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Other Identifiers 2

Medicare ID-Type Unspecified2338747NC
Medicaid8938320NC

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 14

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

DR. WILLIAM ALVIN KUTNER JR. MD
Orthopaedic Surgery
150 FAIRVIEW RD, SUITE 230
MOORESVILLE, NC 28117
Iredell County (704) 323-2000
DR. KEVIN J STANLEY MD
Orthopaedic Surgery
150 FAIRVIEW RD, SUITE 230
MOORESVILLE, NC 28117
Iredell County (704) 323-2000
ORTHOCAROLINA, PA
Orthopaedic Surgery
150 FAIRVIEW RD, SUITE 230
MOORESVILLE, NC 28117
Iredell County (704) 323-2000
ALISA C NANCE MD
Family Medicine
150 FAIRVIEW RD, SUITE 210
MOORESVILLE, NC 28117
Iredell County (704) 235-0300
RACHELLE CLUFF
Physical Medicine & Rehabilitation
150 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (980) 358-2604
MR. ANTHONY ALEXANDER MORGAN JR. DPT
Physical Therapist
150 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (980) 358-2602
BELLAMY FAMILY HEALTHCARE
Family Medicine
150 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (704) 876-5082
ANITA CHARLESTON LITTLE
Physical Therapy Assistant
150 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (980) 358-2604

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 Surgical Associates, PA's NPI number?

The NPI number for Lakeside Surgical Associates, PA is 1487709713. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Lakeside Surgical Associates, PA located?

Lakeside Surgical Associates, PA is located at 150 Fairview Rd Suite 300, Mooresville, NC 28117. The listed phone number is (704) 664-6677.

What is Lakeside Surgical Associates, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lakeside Surgical Associates, PA was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.