Internal Medicine at Lakeside
NPI 1083939722 · Internal Medicine Physician · Brockport, NY
Internal Medicine at Lakeside is a Internal Medicine Physician organization in Brockport, NY (NPI 1083939722).
Provider details
- NPI number
- 1083939722
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lakeside Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Nancy Wilson, Physician Practices(585) 395-6095
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
- 2010-04-06
- Last updated
- 2010-04-06
Frequently asked questions
- What is Internal Medicine at Lakeside's NPI number?
- Internal Medicine at Lakeside's National Provider Identifier (NPI) is 1083939722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Internal Medicine at Lakeside?
- Internal Medicine at Lakeside is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Internal Medicine at Lakeside located?
- Internal Medicine at Lakeside's practice location on file with NPPES is 156 West Ave, Brockport, NY 14420-1229.
- What is Internal Medicine at Lakeside's phone number?
- The practice phone number listed in the NPPES registry for Internal Medicine at Lakeside is (585) 395-6095.
- Who is the authorized official for Internal Medicine at Lakeside?
- The authorized official listed on Internal Medicine at Lakeside's NPPES record is Nancy Wilson, Physician Practices. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Internal Medicine at Lakeside's NPI active?
- Yes — Internal Medicine at Lakeside's NPI (1083939722) is active in the NPPES registry as of the last update on 2010-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.