Lakeside Anesthesiology, SC
NPI 1306892377ActiveOrganization· Anesthesiology, Pain Medicine· Rockford, IL
Anesthesiology, Pain Medicine in Rockford, Illinois, registered in NPPES in May 2006. The authorized official on file is David S. Footerman, MD, President.
Overview
| NPI | 1306892377 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2006 |
| Last updated in NPPES | Jun 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | — | — |
| Anesthesiology | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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