Lake Champlain Physician Services
Lake Champlain Physician Services is a healthcare organization registered as Internal Medicine Physician in Plattsburgh, NY, holding Type 2 (organization) NPI 1083915268 since 2010. The authorized official on file is Wouter Rietsema, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083915268 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lake Champlain Physician Services |
| Practice address | 210 CORNELIA ST, SUITE 303, Plattsburgh, NY, 12901 |
| Phone | 5185627541 |
| Fax | 5185627542 |
| Enumeration date | 2010-11-04 |
| Last updated in NPPES | 2010-11-04 |
Authorized official
| Name | Wouter Rietsema |
|---|---|
| Title | President |
| Phone | 5185627330 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RC0000X | Cardiovascular Disease Physician | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Lake Champlain Physician Services NPI: 1083915268 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 210 CORNELIA ST, SUITE 303, Plattsburgh, NY, 12901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326041989 | Timothy Garrand | Individual | Cardiovascular Disease Physician | Plattsburgh, NY |
| 1881679538 | Usha Saha | Individual | Obstetrics & Gynecology Physician | Plattsburgh, NY |
| 1720064637 | William Bradley | Individual | Cardiovascular Disease Physician | Plattsburgh, NY |
| 1407809981 | Champlain Valley Cardiology, PC | Organization | Cardiovascular Disease Physician | Plattsburgh, NY |
| 1306899257 | Karen Grunewald | Individual | Adult Health Nurse Practitioner | Plattsburgh, NY |
| 1558371344 | Lynn Schneider | Individual | Adult Health Nurse Practitioner | Plattsburgh, NY |
| 1194738500 | Duck J Kim MD PC | Organization | Otolaryngology Physician | Plattsburgh, NY |
| 1952407181 | Paula Lapham | Individual | Primary Care Nurse Practitioner | Plattsburgh, NY |
Verify this record
Cross-check NPI 1083915268 against the authoritative CMS record: view Lake Champlain Physician Services on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lake Champlain Physician Services?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-11-04.