Silver Lake Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0065356 Issued in FL

Legal business name

SILVER LAKE PEDIATRICS, PA

Practice address

33017 Professional Dr
Leesburg, FL 34788-3750

Phone

(352) 314-2275

Fax

(352) 314-2279

NPI assigned

Apr 25, 2007

Organization subpart

No

Name

Dr. Rafael A CheasNPI 1013943489

Title

Owner

Phone

(352) 314-2275

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael A Cheas, MD

  • Pediatrics Physician
  • Leesburg, FL
  • NPI 1013943489

  Pediatrics

  NPD (past) Authorized official
• Annaliese J Redondo, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Clermont, FL
  • NPI 1134713530
  NPD (past)
• Michelle Reisman, APRN

  • Family Nurse Practitioner
  • Leesburg, FL
  • NPI 1326598400
  NPD (past)
• Brittany Nichols Simpson, APRN

  • Pediatric Nurse Practitioner
  • Tavares, FL
  • NPI 1376174722
  NPD (past)

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

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154540425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33017 PROFESSIONAL DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883750",
            "telephone_number": "352-314-2275",
            "fax_number": "352-314-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33017 PROFESSIONAL DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883750",
            "telephone_number": "352-314-2275",
            "fax_number": "352-314-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEAS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-314-2275",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0065356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Siebecker, PT
• Stephen Joseph Signore, PA-C
• Sikkema Chiropractic PA
• John D Sikkema, DC
• Silent Syche
• Silver Lake Pharmacy, LLC.
• Silver Lake Village, Inc
• Linda L Silverman, PSYD
• Cristina P Simmons, MSOT, OTR/L
• Joshua Simmons, RBT

• All providers in Leesburg, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.