LAKESIDE ORTHOPEDIC INSTITUTE LLC
LAKESIDE ORTHOPEDIC INSTITUTE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1275564916, based in Lake Havasu City, AZ. The organization lists 3 taxonomy classifications, with Orthopaedic Surgery Physician recorded as primary.
Getting there
The practice address on file is 1791 MESQUITE AVE, Lake Havasu City, AZ 86403. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2641 | AZ | Physical Therapist |
| 6762 | AZ | Physical Therapist |
| 23186 | AZ | Orthopaedic Surgery Physician |
| 8192 | AZ | Physical Therapist |
| 13802 | AZ | Orthopaedic Surgery Physician |
| 26379 | AZ | Orthopaedic Surgery Physician |
| 34564 | AZ | Orthopaedic Surgery Physician |
| 0554 | AZ | Foot & Ankle Surgery Podiatrist |
This provider holds licence 2641 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1052316445
- Enrollment ID
- O20060918000307
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orthopaedic Surgery covers
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NUCC Health Care Provider Taxonomy, code 207X00000X
All registered taxonomy codes
This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery Physician | — | — | primary |
| 225100000X | Physical Therapist | 2641 | AZ | |
| 225100000X | Physical Therapist | 6762 | AZ | |
| 207X00000X | Orthopaedic Surgery Physician | 23186 | AZ | |
| 225100000X | Physical Therapist | 8192 | AZ | |
| 207X00000X | Orthopaedic Surgery Physician | 13802 | AZ | |
| 207X00000X | Orthopaedic Surgery Physician | 26379 | AZ | |
| 207X00000X | Orthopaedic Surgery Physician | 34564 | AZ | |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 0554 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1275564916 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 5, 2006 |
| Last updated | May 5, 2026 |
| Status | Active |
| Practice address |
1791 MESQUITE AVE Lake Havasu City, AZ 86403 (928) 855-1444 |
| Other identifiers |
DF0357
· Other (AZ) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 7 | 5 | 5 | 6 | 4 | 9 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 5 | 5 | 1 | 6 | 8 | 9 | 2 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.