Lakemont Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME100800 Issued in FL

Legal business name

LAKEMONT PEDIATRICS

Practice address

157 N Lakemont Ave
Winter Park, FL 32792-3214

Phone

(407) 644-6618

Fax

(407) 644-3755

NPI assigned

Jun 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vivien D Pham, M.D.

Title

Manager/Physician

Phone

(407) 644-6618

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1053793190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N LAKEMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923214",
            "telephone_number": "407-644-6618",
            "fax_number": "407-644-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N LAKEMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923214",
            "telephone_number": "407-644-6618",
            "fax_number": "407-644-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEMONT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER/PHYSICIAN",
        "authorized_official_telephone_number": "407-644-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME100800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281279700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Lahr, PA-C
• Thuy Anh Lai
• Lake Behavioral Health Management
• Lake Dental Services, PA (Winterpark Dental Services)
• Lakemont Clininc Inc
• Baldev S Lalli, M.D.
• Charles J Lammers, PHD
• Renee Lamorte
• Amber Nicole Lampert, BCBA
• Justin Edward Land

• Pediatrics Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.