LAKE SHORE AUDIOLOGY, P C — NPI 1811052939 (Licensed & Credentialed Audiologist-Hearing Aid Fitter in ORCHARD PARK, NY)

CMS-1500 Box 24J / 33a • NPI

1811052939

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

237600000X

Licensed & Credentialed Audiologist-Hearing Aid Fitter

Box 32 Service Location & ZIP+4

3085 SOUTHWESTERN BLVD STE 103, ORCHARD PARK, NY, 14127-1234

✓ 9-Digit EDI 837 ZIP+4 (14127-1234)

Practice Phone & Referral Fax

(716) 674-4188

Fax: (716) 674-4834

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1811052939 (LAKE SHORE AUDIOLOGY, P C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1811052939` (NPI-2 Organization / Facility)
Provider / Legal Name	LAKE SHORE AUDIOLOGY, P C
Plain-English Specialty	Licensed & Credentialed Audiologist-Hearing Aid Fitter NUCC Code: `237600000X` (Audiologist-Hearing Aid Fitter)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3085 SOUTHWESTERN BLVD STE 103, ORCHARD PARK, NY, 14127-1234
Practice Telephone / Fax	Tel: (716) 674-4188 \| Fax: (716) 674-4834
Administrative Mailing Address	849 RT 5 & 20, IRVING, NY, 14081
Enumeration & Last Sync	Enumerated: 2006-12-27 \| CMS Record Updated: 2022-12-01
Authorized Official	KEVIN FLANAGAN (Audiologist Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3085 SOUTHWESTERN BLVD STE 103, ORCHARD PARK, NY, 14127-1234

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Plain-English Taxonomy & CMS Crosswalk (237600000X)

What Does Taxonomy Code 237600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 237600000X translates to:
"Licensed & Credentialed Audiologist-Hearing Aid Fitter"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Audiologist-Hearing Aid Fitter for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LAKE SHORE AUDIOLOGY, P C)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`231H00000X` — Audiologist Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist	State: NY \| License: `001421-2` \| Primary: Secondary
`237600000X` — Audiologist-Hearing Aid Fitter Plain English: Licensed & Credentialed Audiologist-Hearing Aid Fitter	State: NY \| License: `15000008841` \| Primary: Yes (Primary)

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LAKE SHORE AUDIOLOGY, P C (NPI #1811052939)