PINETOP-LAKESIDE INTEGRATIVE & PHYSICAL MEDICINE,LLC
PINETOP-LAKESIDE INTEGRATIVE & PHYSICAL MEDICINE,LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1376864462, based in Lakeside, AZ. The organization lists 2 taxonomy classifications, with Pain Medicine (Physical Medicine & Rehabilitation) Physician recorded as primary.
Getting there
The practice address on file is 1628 REED LN, Lakeside, AZ 85929. 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 |
|---|---|---|
| 34673 | AZ | Pain Medicine (Physical Medicine &… primary |
| 34673 | AZ | Physical Medicine & Rehabilitation… |
This provider holds licence 34673 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pain Medicine covers
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. NUCC Health Care Provider Taxonomy, code 2081P2900X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | 34673 | AZ | primary |
| 208100000X | Physical Medicine & Rehabilitation Physician | 34673 | 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 | 1376864462 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 13, 2010 |
| Last updated | Jun 13, 2010 |
| Status | Active |
| Practice address |
1628 REED LN Lakeside, AZ 85929 (928) 358-1648 Fax (928) 368-5178 |
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 | 3 | 7 | 6 | 8 | 6 | 4 | 4 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 7 | 6 | 8 | 4 | 3 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
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.