Lakeside Family Medicine
NPI 1790188639 · Family Medicine Physician · Kingston, OK
Lakeside Family Medicine is a Family Medicine Physician organization in Kingston, OK (NPI 1790188639).
Provider details
- NPI number
- 1790188639
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pamela Ahearn, Owner(580) 564-0200
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
11 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
- 2014-10-07
- Last updated
- 2014-10-07
Frequently asked questions
- What is Lakeside Family Medicine's NPI number?
- Lakeside Family Medicine's National Provider Identifier (NPI) is 1790188639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Family Medicine?
- Lakeside Family Medicine is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Family Medicine located?
- Lakeside Family Medicine's practice location on file with NPPES is 714 Hwy 70 E, Kingston, OK 73439.
- What is Lakeside Family Medicine's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Family Medicine is (580) 564-0200.
- Who is the authorized official for Lakeside Family Medicine?
- The authorized official listed on Lakeside Family Medicine's NPPES record is Pamela Ahearn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Family Medicine's NPI active?
- Yes — Lakeside Family Medicine's NPI (1790188639) is active in the NPPES registry as of the last update on 2014-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.