Active NPI
Robert Jordan Lakko, D.O.
- Family Medicine Physician
- Kingman, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O-0886
- Practice address
- 3269 N Stockton Hill Rd
Kingman, AZ 86409-3619 - Phone
- (928) 681-8577
- NPI assigned
- Sep 3, 2009
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O-0886 | ID | Primary |
| Family Medicine Physician | 207Q00000X | 20300 | MT |
Addresses
Primary practice location
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Mailing address
PO Box 3648
Coeur D Alene, ID 83816-2522
Phone (208) 292-0292
Other practice location 1
1090 W Park Pl
Coeur D Alene, ID 83814-2785
Phone (208) 292-0292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O-0886 | Other | ID | ID STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, VA, IA, OR, AZ, KS, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 McKinley Ave
Kellogg, ID 83837-2502
Phone (208) 667-2600
1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300
142 S Main St
Danville, VA 24541-2922
Phone (434) 799-2225
920 W Ironwood Dr
Suite 200
Coeur D Alene, ID 83814-2643
Phone (208) 667-2600
Hospital & facility affiliations
- Loving Care and More
- Ottumwa Regional Health Center
- Shoshone Medical Center
- Sovah Health Danville
- Crawford County Memorial Hospital
- Kootenai Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4806 | WV | MD | Dentist |
| 20300 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Inc | Current | Accepting new patients | |
| Apogee Medical Group PC | Current | Accepting new patients | |
| Apogee Medical Group, West Virginia, PLLC | Current | Accepting new patients | |
| Apogee Medical Group Iowa PC | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Apogee Medical Group Inc | Current | Accepting new patients | |
| Apogee Medical Group Kansas PA | Current | Accepting new patients | |
| Apogee Medical Group PC | Current | Accepting new patients | |
| Apogee Medical Group Virginia, PC | Current | Accepting new patients | |
| Apogee Medical Group PC | Current | Accepting new patients | |
| Coeur D Alene Primary Care PLLC | Current | Accepting new patients | |
| Meza Post Acute and Long Term Care, PLLC | Current | Accepting new patients | |
| RCHP Ottumwa LLC | Past | Accepting new patients | |
| Apogee Behavioral Medicine Virginia PC | Past | Accepting new patients | |
| Radia Inc P S | Past | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
2426 N Merritt Creek Loop
Ste A
Coeur D Alene, ID 83814
Phone (208) 668-7000
920 W Ironwood Dr
Ste 200
Coeur D Alene, ID 83814
Phone (208) 667-2600
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
100 McKinley Ave
Kellogg, ID 83837
Phone (208) 586-5588
600 N Cecil Rd
Post Falls, ID 83854
Phone (208) 262-2800
600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Coeur d'Alene, ID
- NPI 1922431360
-
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1760652218
-
- General Practice Physician
- Logan, WV
- NPI 1669708442
-
- Geriatric Medicine (Family Medicine) Physician
- Coeur d'Alene, ID
- NPI 1932725215
-
dba Utah Regional Hospitalists
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1205883725
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1922279991
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Denison, IA
- NPI 1578555116
-
dba SOVAH Health Martinsville
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
dba SOVAH Health Danville
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
-
- General Acute Care Hospital
- Coeur d'Alene, ID
- NPI 1992798409
-
- Home Health Agency
- Silverton, ID
- NPI 1356498521
-
dba Ottumwa Regional Health Center
- General Acute Care Hospital
- Ottumwa, IA
- NPI 1013233741
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1174756340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3648",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838162522",
"telephone_number": "208-292-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3269 N STOCKTON HILL RD",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093619",
"telephone_number": "928-681-8577"
}
],
"practiceLocations": [
{
"address_1": "1090 W Park Pl",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838142785",
"country_code": "US",
"telephone_number": "208-292-0292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAKKO",
"first_name": "ROBERT",
"middle_name": "JORDAN",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-03",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O-0886",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "20300",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID STATE LICENSE",
"identifier": "O-0886",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.