1. Home
  2. Directory
  3. Michigan
  4. Saint Joseph
  5. Urology
  6. NPI Profile

LAKESIDE UROLOGY PC
NPI 1770696171
Urology in Saint Joseph, MI

Active since August 17, 2006
815 SAINT JOSEPH DR, SAINT JOSEPH, MI 49085(269) 982-4272(269) 983-5920 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Urology Pc NPPES

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

LAKESIDE UROLOGY PC (NPI 1770696171) is a healthcare organization registered as an urology in Saint Joseph, Michigan and active in the NPI registry since August 2006. The organization lists Peter Bridges, Physician/office Manager, as its authorized official.

NPPES Registry Identity

NPI1770696171
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameLAKESIDE UROLOGY PC
Location Address815 SAINT JOSEPH DRSaint Joseph, MI 49085-2529
Mailing Address815 Saint Joseph DrSaint Joseph, MI 49085-2529 · (269) 982-4272 · Fax (269) 983-5920
Phone(269) 982-4272
Fax(269) 983-5920
Organization SubpartNo
Authorized OfficialPeter BridgesPhysician/office Manager · (269) 982-4272
Enumeration DateAugust 17, 2006
Last NPPES UpdateDecember 16, 2009
✔ NPI 1770696171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
815 SAINT JOSEPH DR, Saint Joseph, MI 49085
Open in Google Maps ↗

Other Identifiers 4

Other0A11030MI · Bcbs Mi
Medicare PIN207050IN
Medicare PINCG4706
Medicare PIN0M95670MI

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 5

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

DAVID M KRAKLAU M.D.
Urology
815 SAINT JOSEPH DR
SAINT JOSEPH, MI 49085
Berrien County (269) 983-3455
MARIA KOULARMANIS PA-C
Physician Assistant
815 SAINT JOSEPH DR
SAINT JOSEPH, MI 49085
Berrien County (269) 983-3455
LAKELAND MEDICAL PRACTICES
Urology
815 SAINT JOSEPH DR
SAINT JOSEPH, MI 49085
Berrien County (269) 983-3455
LAUREN M FARRIS PA
Physician Assistant (Surgical)
815 SAINT JOSEPH DR
SAINT JOSEPH, MI 49085
Berrien County (269) 983-3455
CAYLA ARIEL DUNGEY NP
Nurse Practitioner
815 SAINT JOSEPH DR
SAINT JOSEPH, MI 49085
Berrien County (269) 983-3455

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 Urology PC's NPI number?

The NPI number for Lakeside Urology PC is 1770696171. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Lakeside Urology PC located?

Lakeside Urology PC is located at 815 Saint Joseph Dr, Saint Joseph, MI 49085. The listed phone number is (269) 982-4272.

What is Lakeside Urology PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Lakeside Urology PC was last updated on December 16, 2009. 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.