LAKESIDE SURGERY PA
NPI 1831468800
Surgery in Rockwall, TX

Q: What is Lakeside Surgery PA's NPI number?

The NPI number for Lakeside Surgery PA is 1831468800. It was assigned to this organization in the NPPES registry on December 21, 2011.

Q: What is Lakeside Surgery PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since December 21, 2011

4450 TUBBS RD, ROCKWALL, TX 75032(972) 772-3290(972) 722-3815 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakeside Surgery Pa NPPES

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

LAKESIDE SURGERY PA (NPI 1831468800) is a healthcare organization registered as a surgery in Rockwall, Texas and active in the NPI registry since December 2011. The organization lists Terri R Phillip, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1831468800

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameLAKESIDE SURGERY PA

Location Address4450 TUBBS RDRockwall, TX 75032-6308

Mailing Address4450 Tubbs RdRockwall, TX 75032-6308 · (972) 722-3290 · Fax (972) 722-3815

Phone(972) 772-3290

Fax(972) 722-3815

Organization SubpartNo

Authorized OfficialTerri R PhillipPractice Manager · (972) 722-3290

Enumeration DateDecember 21, 2011

Last NPPES UpdateJune 20, 2018

✔ NPI 1831468800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TX · K6483✔ Licensed in TX · J2983✔ Licensed in TX · P6593

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4450 TUBBS RD, Rockwall, TX 75032

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Other Identifiers 5

Other1326097676TX · Npi #

OtherJ2983TX · Tx License

Other1952393415TX · Npi #

OtherP6593TX · State License

OtherK6483TX · Tx License

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Other Providers at the Same Location NPPES 6

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

COLLEEN I. KENNEDY, MD, PA

Surgery