LAKESIDE OB/GYN
NPI 1972522670
Specialist in Brockport, NY

Q: What is Lakeside Memorial Hospital Inc.'s NPI number?

The NPI number for Lakeside Memorial Hospital Inc. is 1972522670. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is also known as Lakeside Ob/Gyn.

Q: What is Lakeside Memorial Hospital Inc.'s specialty?

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

Active since July 19, 2006

156 WEST AVE, SUITE 104, BROCKPORT, NY 14420(585) 637-6040(588) 637-4737 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lakeside Ob/gyn NPPES

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

LAKESIDE OB/GYN (NPI 1972522670) is a healthcare organization registered as a specialist in Brockport, New York and active in the NPI registry since July 2006. The organization lists Stacey Share, Medical Biller, as its authorized official.

NPPES Registry Identity

NPI1972522670

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLAKESIDE MEMORIAL HOSPITAL INC.

Location Address156 WEST AVE, SUITE 104Brockport, NY 14420-1229

Mailing Address156 West Ave, Suite 104Brockport, NY 14420-1229 · (585) 637-6040 · Fax (588) 637-4737

Phone(585) 637-6040

Fax(588) 637-4737

Organization SubpartYes

Authorized OfficialStacey ShareMedical Biller · (585) 637-6040

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 13, 2010

✔ NPI 1972522670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 235519

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.

156 WEST AVE, Brockport, NY 14420

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Other Names 1

Other NameLakeside Ob/gyn

Other Identifiers 9

Other00927965001NY · Wny

Other170748CKNY · Preffered Care

Other7819729NY · Aetna

Other0027353001NY · Univera

Other0712876NY · Independent Health

OtherP010235519NY · Bcbs Rochester

Medicare UPINI37854NY

Medicare PIN70000ANY

Medicaid02675890NY

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 20

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

LAKESIDE IMAGING, LLC

Radiology (Diagnostic Radiology)

156 WEST AVE
BROCKPORT, NY 14420

Monroe County (716) 859-2954

DR. TIMOTHY VERNON HAGY M.D.

Emergency Medicine (Emergency Medical Services)

156 WEST AVE
BROCKPORT, NY 14420

Monroe County (585) 395-6095

UNIVERSITY OF ROCHESTER

Pharmacy (Community/Retail Pharmacy)

156 WEST AVE, PHARMACY
BROCKPORT, NY 14420

Monroe County (585) 758-7562

ERIK PETERSON D.O.

Emergency Medicine

156 WEST AVE, EMERGENCY DEPARTMENT
BROCKPORT, NY 14420

Monroe County (585) 395-6095

EMMA LEATHAM PA-C

Physician Assistant (Medical)

156 WEST AVE
BROCKPORT, NY 14420

Monroe County (585) 758-7557

AMY LORRAINE STACY MS, RD, CDN

Dietitian, Registered

156 WEST AVE
BROCKPORT, NY 14420

Monroe County (585) 395-6095

INTERNAL MEDICINE AT LAKESIDE

Internal Medicine

156 WEST AVE, SUITE 106
BROCKPORT, NY 14420

Monroe County (585) 395-6095

JORDAN BLOCK

Physical Therapist (Orthopedic)

156 WEST AVE
BROCKPORT, NY 14420

Monroe County (585) 275-5321

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 Memorial Hospital Inc.'s NPI number?

The NPI number for Lakeside Memorial Hospital Inc. is 1972522670. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is also known as Lakeside Ob/Gyn.

Where is Lakeside Memorial Hospital Inc. located?

Lakeside Memorial Hospital Inc. is located at 156 West Ave Suite 104, Brockport, NY 14420. The listed phone number is (585) 637-6040.

What is Lakeside Memorial Hospital Inc.'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 Memorial Hospital Inc. was last updated on July 13, 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.