LAKESIDE PHYSICIAN GROUP
NPI 1942359989
General Practice in Brockport, NY

NPI Status: Active since January 09, 2007

Contact Information

156 WEST AVE
BROCKPORT, NY
ZIP 14420
Phone: (585) 395-6095
Fax: (585) 395-6084

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  • Organization
  • General Practice

About LAKESIDE PHYSICIAN GROUP

This page provides the complete NPI Profile along with additional information for Lakeside Physician Group, a primary care provider established in Brockport, New York operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1942359989 assigned on January 2007. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Lakeside Physician Group. The authorized official of this NPI record is Michelle Kingdollar (Accounts Receivable Manager)

NPI
1942359989
Provider Legal Name
LAKESIDE MEMORIAL HOSPITAL INC.
Other Organization Name
LAKESIDE PHYSICIAN GROUP
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
156 WEST AVE BROCKPORT, NY 14420
Location Phone
(585) 395-6095
Location Fax
(585) 395-6084
Mailing Address
156 WEST AVE BROCKPORT, NY 14420
Mailing Phone
(585) 395-6095
Mailing Fax
(585) 395-6084
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2007
Last Update Date
03-25-2011
Code Navigator

A primary care provider (PCP) like Lakeside Physician Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE KINGDOLLAR

Authorized Official Title
ACCOUNTS RECEIVABLE MANAGER
Authorized Official Phone
(585) 395-6095

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942359989, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 6 + 5 + 1 + 8 + 9 + 1 + 6 + 24 = 81

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1942359989.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Podiatrist
156 WEST AVE, SUITE 106
BROCKPORT, NY 14420
Pharmacist
156 WEST AVE
BROCKPORT, NY 14420
General Acute Care Hospital
156 WEST AVE
BROCKPORT, NY 14420
Emergency Medicine
156 WEST AVE, EMERGENCY DEPARTMENT
BROCKPORT, NY 14420
Internal Medicine
156 WEST AVE, STE 100
BROCKPORT, NY 14420
Specialist
156 WEST AVE, SUITE 104
BROCKPORT, NY 14420
Anesthesiology
156 WEST AVE, LAKESIDE MEMORIAL HOSPITAL
BROCKPORT, NY 14420
Physical Therapist
156 WEST AVE
BROCKPORT, NY 14420
Nurse Practitioner (Family)
156 WEST AVE
BROCKPORT, NY 14420
Emergency Medicine
156 WEST AVE
BROCKPORT, NY 14420
Emergency Medicine (Emergency Medical Services)
156 WEST AVE
BROCKPORT, NY 14420
Physical Therapist
156 WEST AVE
BROCKPORT, NY 14420
Physician Assistant
156 WEST AVE
BROCKPORT, NY 14420
Registered Nurse (Diabetes Educator)
156 WEST AVE
BROCKPORT, NY 14420
Internal Medicine
156 WEST AVE
BROCKPORT, NY 14420
Emergency Medicine
156 WEST AVE
BROCKPORT, NY 14420
Dietitian, Registered
156 WEST AVE
BROCKPORT, NY 14420
Pharmacist
156 WEST AVE
BROCKPORT, NY 14420
Clinic/Center (Community Health)
156 WEST AVE, SUITE 104
BROCKPORT, NY 14420
Physician Assistant
156 WEST AVE
BROCKPORT, NY 14420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942359989, enumerated as an "organization" on January 09, 2007.

The provider is located at 156 WEST AVE BROCKPORT, NY 14420 and the phone number is (585) 395-6095.

General Practice with taxonomy code 208D00000X.