INTERLAKES ORTHOPAEDIC SURGERYPC NPI 1912924713

NPI Information

NPI: 1912924713
Provider Name: INTERLAKES ORTHOPAEDIC SURGERY,PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address: 293 W NORTH ST
GENEVA, NY
ZIP 14456
Phone: (315) 789-0993

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NPI Details

INTERLAKES ORTHOPAEDIC SURGERY,PC is an orthopaedic surgery in Geneva, NY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. INTERLAKES ORTHOPAEDIC SURGERY,PC NPI is 1912924713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

293 W NORTH ST
GENEVA, NY
ZIP 14456-530
Phone: (315) 789-0993
Fax: (315) 789-0281

The provider's authorized official is James B Mark .
The authorized official title is Partner and has the following contact phone number (315) 789-0993.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 4/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207XX0004X	Orthopaedic Surgery	Foot and Ankle Surgery	No
2	207XS0106X	Orthopaedic Surgery	Hand Surgery	No
3	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	No
4	207XX0005X	Orthopaedic Surgery	Sports Medicine	No
5	213E00000X	Podiatrist		No
6	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
7	332B00000X	Durable Medical Equipment & Medical Supplies		No
8	207X00000X	Orthopaedic Surgery		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	01556830	MEDICAID	NEW YORK
2	0457380001	MEDICARE NSC	NEW YORK
3	32989A	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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