LAKESIDE FAMILY PHYSICIANS PLLC
NPI 1891902458
Clinic/Center - Primary Care in Issaquah, WA

Active since May 16, 2007
390 E SUNSET WAY, ISSAQUAH, WA 98027(425) 246-0225(425) 395-0245 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Lakeside Family Physicians Pllc NPPES

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

LAKESIDE FAMILY PHYSICIANS PLLC (NPI 1891902458) is a healthcare organization registered as a primary care in Issaquah, Washington and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Anthem and lists Samantha Maplethorpe, Owner, as its authorized official.

NPPES Registry Identity

NPI1891902458
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKESIDE FAMILY PHYSICIANS PLLC
Location Address390 E SUNSET WAYIssaquah, WA 98027-3441
Mailing Address2623 W Pumpkin Ridge DrAnthem, AZ 85086-3027 · (425) 369-1342 · Fax (623) 440-0501
Fax(425) 395-0245
Organization SubpartNo
Authorized OfficialSamantha MaplethorpeOwner · (425) 369-1342
Enumeration DateMay 16, 2007
Last NPPES UpdateMay 30, 20242 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
NPI 1891902458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
390 E SUNSET WAY, Issaquah, WA 98027

Secondary Practice Location 1

Location 13719 W Anthem Way Ste 200Anthem, AZ 85086-0469 · Phone (425) 369-1342 · Fax (623) 440-0501

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.

Family Medicine
390 E SUNSET WAY
ISSAQUAH, WA 98027
Counselor (Mental Health)
390 E SUNSET WAY
ISSAQUAH, WA 98027

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 Family Physicians PLLC's NPI number?

The NPI number for Lakeside Family Physicians PLLC is 1891902458. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Lakeside Family Physicians PLLC located?

Lakeside Family Physicians PLLC is located at 390 E Sunset Way, Issaquah, WA 98027. The listed phone number is (425) 246-0225.

What is Lakeside Family Physicians PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lakeside Family Physicians PLLC was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.