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LAKESHORE SURGICAL PRACTICE, PC
NPI 1578998696
Surgery - Surgical Critical Care in Rochester, NY

Active since September 09, 2013
30 ERIE CANAL DR, SUITE E, ROCHESTER, NY 14626(585) 637-2930(585) 637-2930 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Lakeshore Surgical Practice, Pc NPPES

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

LAKESHORE SURGICAL PRACTICE, PC (NPI 1578998696) is a healthcare organization registered as a surgical critical care in Rochester, New York and active in the NPI registry since September 2013. The organization lists Richard J King, Physician, as its authorized official.

NPPES Registry Identity

NPI1578998696
Entity TypeOrganization
Primary Taxonomy2086S0102X
Legal Business NameLAKESHORE SURGICAL PRACTICE, PC
Location Address30 ERIE CANAL DR, SUITE ERochester, NY 14626-4604
Mailing Address1 Park AveBrockport, NY 14420-1913 · (585) 637-2930 · Fax (585) 507-4707
Phone(585) 637-2930
Fax(585) 637-2930
Organization SubpartNo
Authorized OfficialRichard J KingPhysician · (585) 637-2930
Enumeration DateSeptember 9, 2013
✔ NPI 1578998696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in NY · 239232
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
30 ERIE CANAL DR, Rochester, NY 14626
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Other Identifiers 3

Medicare UPIN171539NY
Medicare PINJ300058709NY
Medicaid02752716NY

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

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

LOUIS HOWARD MEDVED M.D.
Psychiatry & Neurology (Neurology)
30 ERIE CANAL DR, SUITE G
ROCHESTER, NY 14626
Monroe County (585) 227-3950

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 Surgical Practice, PC's NPI number?

The NPI number for Lakeshore Surgical Practice, PC is 1578998696. It was assigned to this organization in the NPPES registry on September 9, 2013.

Where is Lakeshore Surgical Practice, PC located?

Lakeshore Surgical Practice, PC is located at 30 Erie Canal Dr Suite E, Rochester, NY 14626. The listed phone number is (585) 637-2930.

What is Lakeshore Surgical Practice, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

When was this NPI record last updated?

The NPPES record for Lakeshore Surgical Practice, PC was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.