Lakeside Internal Medicine PC
NPI 1386840502 · Primary Care Clinic/Center · Saint Clair Shores, MI
Lakeside Internal Medicine PC is a Primary Care Clinic/Center organization in Saint Clair Shores, MI (NPI 1386840502).
Provider details
- NPI number
- 1386840502
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Antony, President(586) 778-5287
- License
- 4301058249 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-06-25
- Last updated
- 2014-08-18
Frequently asked questions
- What is Lakeside Internal Medicine PC's NPI number?
- Lakeside Internal Medicine PC's National Provider Identifier (NPI) is 1386840502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Internal Medicine PC?
- Lakeside Internal Medicine PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Internal Medicine PC located?
- Lakeside Internal Medicine PC's practice location on file with NPPES is 21519 Harper Ave Ste 109, Saint Clair Shores, MI 48080-2209.
- What is Lakeside Internal Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Internal Medicine PC is (586) 945-5012.
- Who is the authorized official for Lakeside Internal Medicine PC?
- The authorized official listed on Lakeside Internal Medicine PC's NPPES record is Paul Antony, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Internal Medicine PC's NPI active?
- Yes — Lakeside Internal Medicine PC's NPI (1386840502) is active in the NPPES registry as of the last update on 2014-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.