Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAKESIDE MED PLLC
NPI 1184517922
Clinic/Center - Multi-Specialty in San Antonio, TX

Q: What is Lakeside Med PLLC's NPI number?

The NPI number for Lakeside Med PLLC is 1184517922. It was assigned to this organization in the NPPES registry on May 30, 2025.

Q: What is Lakeside Med PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Lakeside Med PLLC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2025

3619 PAESANOS PKWY STE 300, SAN ANTONIO, TX 78231(210) 338-6328 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Jun 4, 2025, May 30, 2025 (3 updates tracked since 2025).

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About Lakeside Med Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE MED PLLC (NPI 1184517922) is a healthcare organization registered as a multi-specialty in San Antonio, Texas and active in the NPI registry since May 2025. The organization maintains 2 additional practice locations and lists Om Neeley, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1184517922

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameLAKESIDE MED PLLC

Location Address3619 PAESANOS PKWY STE 300San Antonio, TX 78231-1263

Mailing Address1141 North Loop 1604 East #105-pmb616San Antonio, TX 78232-3624

Phone(210) 338-6328

Organization SubpartNo

Authorized OfficialOm NeeleySole Member · (210) 338-6328

Enumeration DateMay 30, 2025

Last NPPES UpdateJune 25, 20263 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1184517922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X

3619 PAESANOS PKWY STE 300, San Antonio, TX 78231

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Secondary Practice Locations 2

Location 12900 Hessmer AveMetairie, LA 70002-5820 · Phone (877) 265-2937

Location 21141 North Loop 1604 East #105-PMB616San Antonio, TX 78232-3624 · Phone (210) 338-6328

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAEGAN SYKES

Specialist/Technologist, Other (Surgical Assistant)

3619 PAESANOS PKWY STE 300
SAN ANTONIO, TX 78231

Bexar County (210) 802-4662

MEDICAL CENTERS OF TEXAS

Specialist/Technologist, Other (Surgical Assistant)

3619 PAESANOS PKWY STE 300
SAN ANTONIO, TX 78231

Bexar County (210) 496-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Med PLLC's NPI number?

The NPI number for Lakeside Med PLLC is 1184517922. It was assigned to this organization in the NPPES registry on May 30, 2025.

Where is Lakeside Med PLLC located?

Lakeside Med PLLC is located at 3619 Paesanos Pkwy Ste 300, San Antonio, TX 78231. The listed phone number is (210) 338-6328.

What is Lakeside Med PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Lakeside Med PLLC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.