Lakeside Anesthesia Group LLC
NPI 1043063068 · Anesthesiology Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Anesthesia Group LLC is a Anesthesiology Physician organization in Jacksonville, FL (NPI 1043063068).
Provider details
- NPI number
- 1043063068
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Weaver, Manager(904) 395-7772
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-09
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Frequently asked questions
- What is Lakeside Anesthesia Group LLC's NPI number?
- Lakeside Anesthesia Group LLC's National Provider Identifier (NPI) is 1043063068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Anesthesia Group LLC?
- Lakeside Anesthesia Group LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Anesthesia Group LLC located?
- Lakeside Anesthesia Group LLC's practice location on file with NPPES is 9143 Philips Hwy Ste 515, Jacksonville, FL 32256-1335.
- What is Lakeside Anesthesia Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Anesthesia Group LLC is (904) 395-4840.
- Does Lakeside Anesthesia Group LLC accept Medicare?
- Lakeside Anesthesia Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Anesthesia Group LLC?
- The authorized official listed on Lakeside Anesthesia Group LLC's NPPES record is Andrew Weaver, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Anesthesia Group LLC's NPI active?
- Yes — Lakeside Anesthesia Group LLC's NPI (1043063068) is active in the NPPES registry as of the last update on 2024-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.