LAKELAND REGIONAL HEALTH SYSTEMS, INC. (NPI# 1669817144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669817144 |
| Entity Type | Organization |
| Organization Name | LAKELAND REGIONAL HEALTH SYSTEMS, INC. |
| Other Organization Name | GRASSLANDS CAMPUS |
| Practice Address |
3030 Harden Blvd Lakeland FL 33803-7952 |
| Mailing Address |
1324 Lakeland Hills Blvd Managed Care Dept Lakeland FL 33805 |
| Practice Telephone | 8632845115 |
| Practice Fax Number | 8634134739 |
| Mailing Telephone | 8636871100 |
| Mailing Fax Number | 8636306528 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | LANCE GREEN (VP CFO) |
| Authorized Official Telephone | 8636871100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clark & Daughtrey South Gate | Doing Business As Name - Organization |
| Grasslands Campus | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114393469 | Lakeland Regional Health Systems, Inc. | General Practice | 811 S Lakeside Ave, Lakeland, FL 33815-4771 | 2015-08-20 |
| 1184820037 | Lakeland Regional Health Systems, Inc. | Internal Medicine | 320 Parkviewpl, Lakeland, FL 33805 | 2007-06-26 |
| 1083095129 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 208 Main St, Auburndale, FL 33823-3404 | 2015-06-15 |
| 1508258906 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 | 2015-02-23 |
| 1609280635 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2014-06-18 |
| 1619381803 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4700 Research Way, Lakeland, FL 33805-8531 | 2014-06-16 |
| 1063858538 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2013-05-10 |
| 1053757526 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 430 E Central Ave, Winter Haven, FL 33880-3050 | 2013-05-10 |
| 1831534312 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2013-05-09 |
| 1902241482 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2013-05-09 |
| Street Address |
3030 HARDEN BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-7952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365197 | Patricia G Eseverri | Internal Medicine | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2005-06-10 |
| 1144789785 | Anielys Salgado | Nurse Practitioner | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2019-03-13 |
| 1801376249 | Alexandra Zambito Hopkins | Audiologist | 3030 Harden Blvd, Lakeland, FL 33803 | 2018-08-15 |
| 1235685512 | Ryan Payne | Specialist/Technologist | 3030 Harden Blvd, Bldg #2, Lakeland, FL 33803 | 2016-08-28 |
| 1326494634 | Keri Sawyer | Nurse Practitioner | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2016-05-05 |
| 1588026728 | Amanda Ratliff Dailey | Family Medicine | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2016-03-27 |
| 1598186801 | Jessica Eliza Campbell | Nurse Practitioner | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2014-01-04 |
| 1932549946 | Latoya Robinson | Nurse Practitioner | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2013-07-05 |
| 1457604738 | Lindsey Ann Hahn | Obstetrics & Gynecology | 3030 Harden Blvd, Lakeland, FL 33803 | 2012-10-24 |
| 1770832859 | Gloria Lea Monasmith | Counselor | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2012-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409598 | Ethos Health Lakeland, LLC | Clinic/Center | 625 Commerce Dr Ste 104, Lakeland, FL 33813-2733 | 2018-05-31 |
| 1053943787 | Bond Clinic Pa | Clinic/Center | 2039 E Edgewood Dr, Lakeland, FL 33803-3601 | 2020-02-11 |
| 1396217089 | Draughn Butler LLC | Clinic/Center | 2033 E Edgewood Dr Ste 4, Lakeland, FL 33803-3660 | 2018-12-19 |
| 1508258906 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 | 2015-02-23 |
| 1609280635 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2014-06-18 |
| 1619381803 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4700 Research Way, Lakeland, FL 33805-8531 | 2014-06-16 |
| 1487068672 | Lakeland Regional Health System, Inc. | Clinic/Center | 1324 Lakeland Hills Blvd, Pavillion - Obgyn, Lakeland, FL 33805-4543 | 2014-06-16 |
| 1063858538 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2013-05-10 |
| 1831534312 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2013-05-09 |
| 1902241482 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2013-05-09 |
| 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.