Lakeshore ENT
NPI 1003096991ActiveOrganization· Otolaryngology, Facial Plastic Surgery· Granbury, TX
Otolaryngology, Facial Plastic Surgery in Granbury, Texas, registered in NPPES in November 2007. The authorized official on file is Stephen George Krzeminski, D.O., FAOCO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003096991 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2007 |
| Last updated in NPPES | Aug 15, 2025 |
| Certified by provider | Aug 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology, Facial Plastic Surgery Primary | 207YS0123X | K8272 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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