Steven G Anderson (NPI# 1558599795, PAC ID# 9739493446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1558599795 |
| PAC ID by PECOS | 9739493446 |
| Professional Enrollment ID | I20150807014485 |
| Full Name | Steven G Anderson |
| Organization Legal Name | LAKESIDE ORTHOPEDIC INSTITUTE LLC |
| Address |
25 Riviera Blvd Lake Havasu City AZ 86403-5694 |
| Phone Number | 9285055555 |
| Gender | M |
| Medical School | BOWDOIN MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1052316445 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| 031317 | LA PAZ REGIONAL HOSPITAL |
| 030117 | VALLEY VIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 9285055555 | LAKESIDE ORTHOPEDIC INSTITUTE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 38% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 92% |
| Organization Legal Name | LAKESIDE ORTHOPEDIC INSTITUTE LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eung-jun J Cha | Orthopedic Surgery | Lakeside Orthopedic Institute LLC | 25 Riviera Dr, Lake Havasu City, AZ 86403-5713 |
| Brittany R Brown | Physical Therapy | Lakeside Orthopedic Institute LLC | 1791 Mesquite Ave, Lake Havasu City, AZ 86403-5648 |
| William F Binder | Orthopedic Surgery | Lakeside Orthopedic Institute LLC | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 |
| Ronald B Killian | Podiatry | Lakeside Orthopedic Institute LLC | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 |
| Michael H Wright | Orthopedic Surgery | Lakeside Orthopedic Institute LLC | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 |
| Daniel E Heiner | Orthopedic Surgery | Lakeside Orthopedic Institute LLC | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 |
| Bryan Joseph Ladislas | Physical Therapy | Lakeside Orthopedic Institute LLC | 1791 Mesquite Ave, Lake Havasu City, AZ 86403-5648 |
| Walter E Foxcroft Iii | Physical Therapy | Lakeside Orthopedic Institute LLC | 1791 Mesquite Ave, Lake Havasu City, AZ 86403-5648 |
| Edward Jonathan Presser | Physical Therapy | Lakeside Orthopedic Institute LLC | 1791 Mesquite Ave, Lake Havasu City, AZ 86403-5648 |
| Derek M Burnett | Physical Medicine and Rehabilitation | Lakeside Orthopedic Institute LLC | 25 Riviera Dr, Lake Havasu City, AZ 86403-5713 |
| Street Address |
25 RIVIERA BLVD |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-5694 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F Binder | Orthopedic Surgery | Lakeside Orthopedic Institute LLC | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 |
| Ronald B Killian | Podiatry | Lakeside Orthopedic Institute LLC | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 |
| Michael H Wright | Orthopedic Surgery | Lakeside Orthopedic Institute LLC | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 |
| Daniel E Heiner | Orthopedic Surgery | Lakeside Orthopedic Institute LLC | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LAKE HAVASU CITY + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.