OrganizationActive
Lakeside Anesthesiology, Sc
NPI 1306892377 · Pain Medicine (Anesthesiology) Physician · Rockford, IL
Provider details
- NPI number
- 1306892377
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Footerman, President(815) 633-8586
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
6090 Strathmoor Dr
Rockford, IL 61107-6628
Phone: (815) 633-8586
Approximate (ZIP-level) locationGet directions
Mailing address
6785 Weaver Rd
Rockford, IL 61114-8055
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2011-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.