Lakewood Ranch Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAKEWOOD RANCH MEDICAL GROUP LLC

Practice address

8340 Lakewood Ranch Blvd
Suite 140
Lakewood Ranch, FL 34202-5180

Phone

(941) 782-2800

Fax

(941) 782-2513

NPI assigned

Jun 13, 2008

Last updated

May 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cecilia D Carag, MD

Title

Delegated Officer

Phone

(941) 782-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Manatee Memorial Hospital L P

  dba Manatee Memorial Hospital

  • Other Specialist/Technologist
  • Bradenton, FL
  • NPI 1770505687

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina M. Knauer, ARNP

  • Nurse Practitioner
  • Lakewood Ranch, FL
  • NPI 1750334314
  NPD (past)
• Herbert Ullmer Pegues II, MD

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1295792513
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1093975062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281741",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841741",
            "telephone_number": "941-782-2800",
            "fax_number": "941-782-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 140",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "941-782-2800",
            "fax_number": "941-782-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD RANCH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "CARAG",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DELEGATED OFFICER",
        "authorized_official_telephone_number": "941-782-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DN8672",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Shane Ladwig, APRN
• Juergen Lafrenz, D.D.S.
• Lakewood Ranch Anesthesia PL
• Lakewood Ranch Enterprises LLC (Lakewood Ranch Concierge Hospitalist)
• Lakewood Ranch Lactation (Lactation Loop)
• Lakewood Ranch Minimally Invasive Surgery LLC
• Lakewood Ranch Obstetrics and Gynecology PL
• Lakewood Ranch Oncology Center
• Lakewood Ranch Primary Care LLC
• Lakewood Ranch Retina

• Family Medicine Physician in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.