Lake Champlain Physician Services
NPI 1083915268ActiveOrganization· Internal Medicine· Plattsburgh, NY
Internal Medicine in Plattsburgh, New York, registered in NPPES in November 2010. The authorized official on file is Wouter Rietsema, M.D., President.
Overview
| NPI | 1083915268 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2010 |
| Last updated in NPPES | Nov 4, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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