OrganizationActive
Lakeside Foot Clinic, PC
NPI 1184884777 · Podiatrist · Cornelius, NC
Lakeside Foot Clinic, PC is a Podiatrist organization in Cornelius, NC (NPI 1184884777).
Provider details
- NPI number
- 1184884777
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- John Shimko, Sole Proprietor(704) 892-3399
- License
- 270 (NC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
19453 W Catawba Ave Ste a
Cornelius, NC 28031-4022
Phone: (704) 892-3399
Fax: (704) 892-5113
Street-level locationGet directions
Mailing address
19453 W Catawba Ave Ste a
Cornelius, NC 28031-4022
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2015-03-23
Frequently asked questions
- What is Lakeside Foot Clinic, PC's NPI number?
- Lakeside Foot Clinic, PC's National Provider Identifier (NPI) is 1184884777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Foot Clinic, PC?
- Lakeside Foot Clinic, PC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Lakeside Foot Clinic, PC located?
- Lakeside Foot Clinic, PC's practice location on file with NPPES is 19453 W Catawba Ave Ste a, Cornelius, NC 28031-4022.
- What is Lakeside Foot Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Foot Clinic, PC is (704) 892-3399.
- Who is the authorized official for Lakeside Foot Clinic, PC?
- The authorized official listed on Lakeside Foot Clinic, PC's NPPES record is John Shimko, Sole Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Foot Clinic, PC's NPI active?
- Yes — Lakeside Foot Clinic, PC's NPI (1184884777) is active in the NPPES registry as of the last update on 2015-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.