LAKESIDE PEDIATRICS NORTH (NPI# 1518973973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518973973 |
Entity Type | Organization |
Organization Name | LAKESIDE PEDIATRICS NORTH |
Practice Address |
2929 Lakeland Hills Blvd Lakeland FL 33805-2223 |
Practice Telephone | 8636883550 |
Practice Fax Number | 8636878969 |
Mailing Telephone | 8636883550 |
Mailing Fax Number | 8636878969 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2015-05-29 |
Authorized Official Name | DR. MATTHEW J CORY (PARTNER) |
Authorized Official Telephone | 8636883550 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 251933000 | 05 |
Street Address |
2929 LAKELAND HILLS BLVD |
City | LAKELAND |
State | FL |
Zip Code | 33805-2223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
Find all providers in zip 33805 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134490204 | Theresa Lynn Felten | Pediatrics | 223 Lake Gibson Ln, Lakeland, FL 33809-3545 | 2012-01-22 |
1336469931 | Cara Marjorie Anne Cannon | Pediatrics | 5950 South Florida Ave., Lakeland, FL 33813-2532 | 2010-06-04 |
1134446107 | Urquiza Pediatrics | Pediatrics | 1545 Lakeland Hills Blvd, Lakeland, FL 33805-3246 | 2010-04-29 |
1235385287 | Mark Friberg | Pediatrics | 430 E Central Avenue, Lakeland, FL 33805 | 2008-08-11 |
1467521161 | Deborah Kathleen Ford | Pediatrics | 5705 Us Highway 98 S, Lakeland, FL 33812-4108 | 2006-11-07 |
1356351019 | Hugh W Johnson | Pediatrics | 2515 Troy Ave, Bay Area Primary Care Assoc Inc, Lakeland, FL 33803-2960 | 2006-08-08 |
1477519155 | Daniel L Leviten | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2006-04-22 |
1558335760 | Dorothy Joan Ray | Pediatrics | 2140 E Edgewood Dr, Lakeland, FL 33803-3604 | 2006-02-14 |
1114907417 | Karen Beth Schick | Pediatrics | 601 S Florida Ave, Suite 6, Lakeland, FL 33801-5237 | 2006-01-20 |
1932107158 | Tamara Threlkeld Pistoria | Pediatrics | 1033 N Parkway Frontage Rd, Lakeland, FL 33803-0401 | 2005-07-12 |
Find all providers in LAKELAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.