Lakeside Family Health Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAKESIDE FAMILY HEALTH CENTER PC

Practice address

5658 Highway 260
Suite 24
Lakeside, AZ 85929-5189

Phone

(928) 537-4379

Fax

(928) 537-4653

NPI assigned

Jan 30, 2006

Last updated

Jan 26, 2015By 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

Charles Robertson, MDNPI 1396716189

Title

Owner

Phone

(928) 537-4379

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Charles Paul Robertson, M.D.

  • Family Medicine Physician
  • Lakeside, AZ
  • NPI 1396716189
  Authorized official Same address or phone
• Thomas Melvin Kessler, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lakeside, AZ
  • NPI 1578590279
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1871564609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 HIGHWAY 260 STE 24",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295189",
            "telephone_number": "928-537-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 HIGHWAY 260",
            "address_2": "SUITE 24",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295189",
            "telephone_number": "928-537-4379",
            "fax_number": "928-537-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE FAMILY HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-537-4379",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Keller
• Kent Walter Cox MD PS
• Thomas Melvin Kessler, M.D.
• Melissa Ann Kyrimis, MD
• Kathy Lacapa-Boegl, M.S.-CCC-SLP
• Lakeside Medical PLLC
• Lakeside Volunteer Fire Department (Lakeside Fire District)
• Jeffrey Rayne Lesueur, M.D.
• Lincare Inc.
• Sarah Lindstrom

• Family Medicine Physician in Lakeside, AZ
• Providers in Lakeside, 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 Jan 26, 2015; 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.