Lakeview Family Health Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3425 Issued in AZ

Legal business name

LAKEVIEW FAMILY HEALTH CARE

Practice address

2090 Smoketree Ave N
Lake Havasu City, AZ 86403-5806

Phone

(928) 854-1800

Fax

(928) 854-1818

NPI assigned

Mar 21, 2008

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kelli Michelle Ward, DONPI 1104867308

Title

Owner

Phone

(928) 854-1800

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelli M Ward, D.O.

  • Family Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1104867308
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1053582627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 SMOKETREE AVE N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035806",
            "telephone_number": "928-854-1800",
            "fax_number": "928-854-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SMOKETREE AVE N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035806",
            "telephone_number": "928-854-1800",
            "fax_number": "928-854-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-854-1800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0857940",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1872",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "G96720",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470724",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeside Orthopedic Institute LLC (Lakeside Urgent Care)
• Lakeside Orthopedic Institute, LLC (Lakeside Primary Care)
• Lakeside Orthopedic Institute, LLC
• Lakeside Pharmacy LLC
• Lakeside Physical Therapy, Rehab & Sports Medicine
• Lakeview Women's Health PLLC
• John E Lankenau, M.D.
• Laurin B Epstein, LLC (Word of Mouth Therapies)
• Rebecca Ann Lavene, D.M.D
• Ryan Lavene, DDS

• Family Medicine Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.