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Lakeside Family Medicine

Q: What type of organization is Lakeside Family Medicine?

Lakeside Family Medicine is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Family Medicine Physician in Kingston, OK · enumerated 2009 · authorized official Pamela Ahearn, Owner/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295064178

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Registry record

Entity type Organization (Type 2)

Legal business name Lakeside Family Medicine

Practice address 21 N. Main Street, Kingston, OK, 73439

Phone (580) 226-1010

Enumeration date Dec 23, 2009

Last updated in NPPES Dec 23, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 19862 (OK) Primary

Authorized official

Name Pamela Ahearn

Title Owner/President

Phone (580) 226-1010

Other identifiers

Identifier	Type	State	Issuer
PENDING	Medicaid	OK	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Lakeside Family Medicine?

Lakeside Family Medicine is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-23.