Lakeside Med, LLC
NPI 1891567053ActiveOrganization· Physician Assistant, Medical· Frederick, MD
Physician Assistant, Medical in Frederick, Maryland, registered in NPPES in October 2023, part of Lakeside Med, LLC. The authorized official on file is Douglas H. Brown, EDD(C), Managing Partner.
Overview
| NPI | 1891567053 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lakeside Med, LLC |
| NPI issued | Oct 23, 2023 |
| Last updated in NPPES | Oct 23, 2023 |
| Certified by provider | Oct 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Physician Assistant, Medical providers in Frederick
- 1124423637
- 1316336449
- 1578615829
- 1598946006
- 1972809044
- 1326872938
- 1790954253
- 1598473092
- 1578521068
- 1114079621
- 1407908007
- 1700208725