Lake City Cancer Care LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

LAKE CITY CANCER CARE LLC

Practice address

4520 W US Highway 90
Lake City, FL 32055-8341

Phone

(352) 755-0601

Fax

(352) 755-0602

NPI assigned

Feb 1, 2023

Organization subpart

Yes

Parent organization

LAKE CITY CANCER CARE LLCAs reported in NPPES

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

Authorized official

Name

Robert Rhymer

Title

Evp HR & Chief Clinical Operations

Phone

(615) 467-7415

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Lake City Cancer Care LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lake City Cancer Care LLC

  • Hematology & Oncology Physician
  • Lake City, FL
  • NPI 1396132213
  NPPES parent name

Practitioners 1

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

• Waseemullah Khan, MD

  • Medical Oncology Physician
  • Lake City, FL
  • NPI 1073557864

  Hematology & Oncology

  NPD

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1235835216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "615-783-1071",
            "fax_number": "615-783-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558341",
            "telephone_number": "352-755-0601",
            "fax_number": "352-755-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY CANCER CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE CITY CANCER CARE LLC",
        "enumeration_date": "2023-02-01",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "RHYMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EVP HR & CHIEF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "615-467-7415"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015614301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayli Rian Kvistad
• L L Nurse Practitioner Consutling LLC LL Aesthethics LLC
• Brenda Kay Lacy, LD/N
• Christopher J. Lacy, P.T.A.
• CHI Kwong Lai, MD
• Lake City Cancer Care LLC
• Lake City Chiropractic and Massage
• Lake City Dental
• Lake City Eye Physicians, LLC
• Lake City FL Opco LLC

• Hematology & Oncology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.