LAKESIDE HEART AND VASCULAR CENTER PLLC
LAKESIDE HEART AND VASCULAR CENTER PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1801194352, based in Lake Havasu City, AZ. The organization lists 2 taxonomy classifications, with Interventional Cardiology Physician recorded as primary.
Getting there
The practice address on file is 1741 MESQUITE AVE SUITE A100, 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 |
|---|---|---|
| 44211 | AZ | Interventional Cardiology Physician primary |
| 44211 | AZ | Cardiovascular Disease Physician |
This provider holds licence 44211 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
- 4587832779
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Interventional Cardiology covers
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. NUCC Health Care Provider Taxonomy, code 207RI0011X
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 | |
|---|---|---|---|---|
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | 44211 | AZ | primary |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | 44211 | 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 | 1801194352 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 8, 2011 |
| Last updated | Jul 20, 2011 |
| Status | Active |
| Practice address |
1741 MESQUITE AVE SUITE A100 Lake Havasu City, AZ 86403 (928) 453-2727 Fax (928) 453-2828 |
| Mailing address |
PO BOX 3539 Lake Havasu City, AZ 86405 |
| Other identifiers |
P-1663566-8
· ARIZONA CORPORATION COMMISSION FILING NUMBER (AZ) 604490 (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 | 8 | 0 | 1 | 1 | 9 | 4 | 3 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 0 | 1 | 2 | 9 | 8 | 3 | 1 |
Sum = 58 · next multiple of 10 = 60 · 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.