LAKES REGION UROLOGY PA (NPI# 1902088024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902088024 |
| Entity Type | Organization |
| Organization Name | LAKES REGION UROLOGY PA |
| Practice Address |
85 Spring St Laconia NH 03246-3113 |
| Practice Telephone | 6035248660 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | MRS. PATRICIA DUMONT (OFFICE COORDINATOR) |
| Authorized Official Telephone | 6035248660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 00000655 | 05 |
| Street Address |
85 SPRING ST |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770028870 | Jennifer Pearson | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2016-12-28 |
| 1871037218 | Stacy Casella | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2016-12-05 |
| 1700331584 | Laconia Internal Medicine, Pllc | Internal Medicine | 85 Spring St, Suite 404, Laconia, NH 03246-3113 | 2016-08-22 |
| 1194016162 | Lrghealthcare | Otolaryngology | 85 Spring St, Laconia, NH 03246-3113 | 2011-04-26 |
| 1417261033 | Ana C Zamora Martinez | Internal Medicine | 85 Spring St, Laconia, NH 03246-3113 | 2010-08-06 |
| 1992024533 | Patrick Ryan Stevens | Otolaryngology | 85 Spring St, Laconia, NH 03246-3113 | 2010-05-21 |
| 1649598012 | Lrghealthcare | Clinic/Center | 85 Spring St, Suite 302, Laconia, NH 03246-3169 | 2010-05-11 |
| 1184958464 | Venkatram Nethala Md PC | Internal Medicine | 85 Spring St, Suit # 3b, Laconia, NH 03246-3113 | 2009-09-20 |
| 1508199027 | Carlene M Vasquez-brown | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2009-09-16 |
| 1871753830 | Kamen Sashev Rangelov | Internal Medicine | 85 Spring St, Laconia, NH 03246-3113 | 2008-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124467097 | Julia Veronica Fiuk | Urology | 724 North Main Street, Laconia, NH 03246-2742 | 2013-06-24 |
| 1427285493 | Stephen D Marshall | Urology | 724 N Main St, Laconia, NH 03246-2742 | 2009-06-17 |
| 1083631022 | Frederic Fernholz | Urology | 724 N Main St, Laconia, NH 03246-2742 | 2006-07-16 |
| 1518933589 | Daniel James Patrisso | Urology | 85 Spring St, Ste 302, Laconia, NH 03246-3113 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821269754 | Egbert D Baumgart | Urology | 17 Old Rollinsford Road, Suite 3, Dover, NH 03820-2892 | 2008-03-19 |
| 1689842544 | Sidney Robert Katz | Urology | 781 Smyth Rd, Va Medicalcenter, Manchester, NH 03104 | 2008-02-13 |
| 1952456014 | Henry Haskins Ferrell IIi | Urology | 1 Park Avenue, Unit 6 1, Hampton, NH 03842 | 2007-01-25 |
| 1396852786 | Armando E Lopez | Urology | 718 Smyth Rd Fl 3, Manchester, NH 03104 | 2006-08-23 |
| 1588622757 | Cyrus B Noble | Urology | 4 Elliot Way Ste 200, Manchester, NH 03103-3544 | 2006-05-03 |
| 1386601987 | Thomas C Mcnamara | Urology | 149 Emerald St, Keene, NH 03431-3611 | 2006-04-27 |
| 1366435737 | Robert P Cricco | Urology | 5 Dunning St, Claremont, NH 03743-2099 | 2005-08-31 |
| 1659375327 | Sandy Chin | Urology | 10 Members Way, Suite 402, Dover, NH 03820 | 2005-06-09 |
| 1003475914 | Jason Akerman | Urology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-06-13 |
| 1003293887 | Gina Nicole Tundo | Urology | 1 Medical Center Dr, Dhmc, Lebanon, NH 03756-1000 | 2015-04-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.