Lakeside Memorial Hospital Inc.
NPI 1942359989 · General Practice Physician · Brockport, NY
Lakeside Memorial Hospital Inc. is a General Practice Physician organization in Brockport, NY (NPI 1942359989).
Provider details
- NPI number
- 1942359989
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Kingdollar, Accounts Receivable Manager(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
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
Other names (DBA / former)
- Other name
- Lakeside Physician Group
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2011-03-25
Frequently asked questions
- What is Lakeside Memorial Hospital Inc.'s NPI number?
- Lakeside Memorial Hospital Inc.'s National Provider Identifier (NPI) is 1942359989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Memorial Hospital Inc.?
- Lakeside Memorial Hospital Inc. is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Memorial Hospital Inc. located?
- Lakeside Memorial Hospital Inc.'s practice location on file with NPPES is 156 West Ave, Brockport, NY 14420.
- What is Lakeside Memorial Hospital Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lakeside Memorial Hospital Inc. is (585) 395-6095.
- Who is the authorized official for Lakeside Memorial Hospital Inc.?
- The authorized official listed on Lakeside Memorial Hospital Inc.'s NPPES record is Michelle Kingdollar, Accounts Receivable Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Memorial Hospital Inc.'s NPI active?
- Yes — Lakeside Memorial Hospital Inc.'s NPI (1942359989) is active in the NPPES registry as of the last update on 2011-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.