LAKESIDE MEMORIAL HOSPITAL INC.
NPI 1639136153
General Acute Care Hospital in Brockport, NY
NPI Status: Active since April 27, 2006
Contact Information
156 WEST AVE
BROCKPORT, NY
ZIP 14420
Phone: (585) 395-6095
Fax: (585) 395-6036
- Organization
- General Acute Care Hospital
About LAKESIDE MEMORIAL HOSPITAL INC.
This page provides the complete NPI Profile along with additional information for Lakeside Memorial Hospital Inc., a provider established in Brockport, New York operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1639136153 assigned on April 2006. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Michael Stapleton (Ceo)
- NPI
- 1639136153
- Provider Name
- LAKESIDE MEMORIAL HOSPITAL INC.
- Entity Type
- Organization
- Location Address
- 156 WEST AVE BROCKPORT, NY 14420
- Location Phone
- (585) 395-6095
- Location Fax
- (585) 395-6036
- Mailing Address
- 156 WEST AVE BROCKPORT, NY 14420
- Mailing Phone
- (585) 395-6095
- Mailing Fax
- (585) 395-6036
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2006
- Last Update Date
- 08-25-2009
- Code Navigator
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 Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
| 2 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14005907 | OTHER (01) | NY | EXCELLUS-PHYS & MID PRACT |
| 330037 | MEDICARE OSCAR/CERTIFICATION (06) | NY | |
| 12005907 | OTHER (01) | NY | EXCELLUS - INPATIENT |
| 106418AZ | OTHER (01) | NY | PREFERRED CARE-PHYS & MID |
| 02198570 | OTHER (01) | NY | MEDICAID-PHYS & MID PRACT |
| 70000A | OTHER (01) | NY | MEDICARE-PHYS & MID PRACT |
| 14005907 | OTHER (01) | NY | EXCELLUS - OUTPATIENT |
| 00279543 | MEDICAID (05) | NY | |
| 100003CF | OTHER (01) | NY | PREFERRED CARE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 3 | 6 | 1 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 3 | 12 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 3 + 1 + 2 + 1 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1639136153 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477514693 | STEPHEN F WIECZOREK DPM Individual | Podiatrist | 156 WEST AVE SUITE 106 BROCKPORT, NY 14420 (585) 637-2113 |
| 1700849957 | HARRY M SHIFTON PHARMACIST Individual | Pharmacist | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6043 |
| 1336180744 | JASON MCCLUNG MD Individual | Emergency Medicine | 156 WEST AVE EMERGENCY DEPARTMENT BROCKPORT, NY 14420 (585) 395-6095 |
| 1871518480 | MR. KARORI MAL AGGARWAL MD Individual | Internal Medicine | 156 WEST AVE STE 100 BROCKPORT, NY 14420 (585) 637-3914 |
| 1972522670 | LAKESIDE MEMORIAL HOSPITAL INC. Organization | Specialist | 156 WEST AVE SUITE 104 BROCKPORT, NY 14420 (585) 637-6040 |
| 1225051444 | SCOTT F BERRY DO Individual | Anesthesiology | 156 WEST AVE LAKESIDE MEMORIAL HOSPITAL BROCKPORT, NY 14420 (585) 395-6095 |
| 1518060375 | MRS. MARY E TATAR PT Individual | Physical Therapist | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6093 |
| 1972604247 | CYNTHIA JANE ROMBAUT FNP Individual | Nurse Practitioner (Family) | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6095 |
| 1518050673 | DR. MANMADHARAO KASARANENI M.D. Individual | Emergency Medicine | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6095 |
| 1003906363 | DR. TIMOTHY VERNON HAGY M.D. Individual | Emergency Medicine (Emergency Medical Services) | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6095 |
| 1700955820 | MRS. CHRISTINA LN KEMP PT Individual | Physical Therapist | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6093 |
| 1881766368 | MRS. LORETTA ANNE BRIGMAN PA Individual | Physician Assistant | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6095 |
| 1942359989 | LAKESIDE MEMORIAL HOSPITAL INC. Organization | General Practice | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6095 |
| 1669523205 | MS. BONNIE DAWN HEWETT RN Individual | Registered Nurse (Diabetes Educator) | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6044 |
| 1962555854 | LAKESIDE HOSPITAL INTERNAL MEDICINE GROUP Organization | Internal Medicine | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6095 |
| 1336272053 | DR. IGOR WLADIMIR ROSIEN M.D. Individual | Emergency Medicine | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6095 |
| 1053539023 | AMY LORRAINE STACY MS, RD, CDN Individual | Dietitian, Registered | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6095 |
| 1497953897 | ANTHONY MONTALBANO R.PH Individual | Pharmacist | 156 WEST AVE BROCKPORT, NY 14420 (585) 395-6043 |
| 1548453368 | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. Organization | Clinic/Center (Community Health) | 156 WEST AVE SUITE 104 BROCKPORT, NY 14420 (585) 637-6040 |
| 1740466473 | PETER J. SIMONE RPA-C Individual | Physician Assistant | 156 WEST AVE BROCKPORT, NY 14420 (585) 637-3131 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639136153, enumerated in the NPI registry as an "organization" on April 27, 2006
The provider is located at 156 West Ave Brockport, Ny 14420 and the phone number is (585) 395-6095
This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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