Lakeside Pediatrics South

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LAKESIDE PEDIATRICS SOUTH

Practice address

5950 S Florida Ave
Lakeland, FL 33813-2532

Phone

(863) 619-8441

Fax

(863) 646-6579

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Cory, MD

Title

Partner

Phone

(863) 688-3550

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lakeside Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeside Pediatrics

  • Pediatrics Physician
  • Lakeland, FL
  • NPI 1962418343
  NPD tax ID
• Lakeside Pediatrics North

  • Pediatrics Physician
  • Lakeland, FL
  • NPI 1518973973
  NPD tax ID

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1174539548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132532",
            "telephone_number": "863-619-8441",
            "fax_number": "863-646-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132532",
            "telephone_number": "863-619-8441",
            "fax_number": "863-646-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE PEDIATRICS SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "CORY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "863-688-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251933001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeland'S Children Therapy Center, LLC
• Lakeside Medical Centers, Inc.
• Lakeside of Lakeland Inc
• Lakeside Pediatrics
• Lakeside Pediatrics North
• Lakeview Anesthesia LLC
• Lakeview SNF Operations LLC
• Yared D Lakew, MD
• Karishma Lakhani, DO
• Raam Satish Lakhani, MD

• Pediatrics Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.