Lakeside Orthopedic Institute, LLC
NPI 1356099790ActiveOrganization· Family Medicine· Lake Havasu City, AZ
Family Medicine in Lake Havasu City, Arizona, registered in NPPES in March 2022, part of Lakeside Orthopedic Institute, LLC. The authorized official on file is Daniel Edward Heiner, Authorized Official.
Overview
| NPI | 1356099790 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lakeside Orthopedic Institute, LLC |
| NPI issued | Mar 15, 2022 |
| Last updated in NPPES | Apr 22, 2026 |
| Certified by provider | Apr 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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