OrganizationActive
Lakeside Medical PLLC
NPI 1376210500 · Family Medicine Physician · Lakeside, AZ
Lakeside Medical PLLC is a Family Medicine Physician organization in Lakeside, AZ (NPI 1376210500).
Provider details
- NPI number
- 1376210500
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gaylon Crawford, Physician(928) 367-6828
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
300 W White Mountain Blvd #c
Lakeside, AZ 85929-7014
Phone: (928) 367-6828
Fax: (928) 367-4037
Street-level locationGet directions
Mailing address
300 W White Mountain Blvd #c
Lakeside, AZ 85929-7014
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2022-03-16
- Certified
- 2022-03-16
Frequently asked questions
- What is Lakeside Medical PLLC's NPI number?
- Lakeside Medical PLLC's National Provider Identifier (NPI) is 1376210500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Medical PLLC?
- Lakeside Medical PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Medical PLLC located?
- Lakeside Medical PLLC's practice location on file with NPPES is 300 W White Mountain Blvd #c, Lakeside, AZ 85929-7014.
- What is Lakeside Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Medical PLLC is (928) 367-6828.
- Who is the authorized official for Lakeside Medical PLLC?
- The authorized official listed on Lakeside Medical PLLC's NPPES record is Gaylon Crawford, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Medical PLLC's NPI active?
- Yes — Lakeside Medical PLLC's NPI (1376210500) is active in the NPPES registry as of the last update on 2022-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.