LAKESIDE FAMILY MEDICINE – NPI #1790188639
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

LAKESIDE FAMILY MEDICINE is a provider located in KINGSTON, OK. NPPES has assigned the NPI number 1790188639 to LAKESIDE FAMILY MEDICINE on October 07, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE FAMILY MEDICINE below.

NPI Profile for
LAKESIDE FAMILY MEDICINE

NPI Number
1790188639
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE FAMILY MEDICINE
Primary location
714 HWY 70 E
KINGSTON, OK 73439
Phone: (580) 564-0200 Fax:
Mailing address
PO BOX 1798
KINGSTON, OK 73439-1798
Phone: (580) 564-0200 Fax: (580) 564-0201
Organization Subpart
No
Authorized Official
PAMELA AHEARN
OWNER
Phone: (580) 564-0200
Updated
Identifiers

Identifiers for LAKESIDE FAMILY MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200272990A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.