Lake Champlain Physician Services
NPI 1083915268 · Internal Medicine Physician · Plattsburgh, NY
Lake Champlain Physician Services is a Internal Medicine Physician organization in Plattsburgh, NY (NPI 1083915268).
Provider details
- NPI number
- 1083915268
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wouter Rietsema, President(518) 562-7330
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-04
- Last updated
- 2010-11-04
Frequently asked questions
- What is Lake Champlain Physician Services's NPI number?
- Lake Champlain Physician Services's National Provider Identifier (NPI) is 1083915268, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Champlain Physician Services?
- Lake Champlain Physician Services is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Champlain Physician Services located?
- Lake Champlain Physician Services's practice location on file with NPPES is 210 Cornelia St, Plattsburgh, NY 12901-2318.
- What is Lake Champlain Physician Services's phone number?
- The practice phone number listed in the NPPES registry for Lake Champlain Physician Services is (518) 562-7541.
- Who is the authorized official for Lake Champlain Physician Services?
- The authorized official listed on Lake Champlain Physician Services's NPPES record is Wouter Rietsema, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Champlain Physician Services's NPI active?
- Yes — Lake Champlain Physician Services's NPI (1083915268) is active in the NPPES registry as of the last update on 2010-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.