Lemon Bay Physicians, P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LEMON BAY PHYSICIANS, P.A.

Practice address

1885 Englewood Rd
Englewood, FL 34223-1822

Phone

(941) 475-8291

Fax

(941) 473-3609

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Logan, M.D.NPI 1326081761

Title

President

Phone

(941) 475-8291

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Om Dutt Sharma, M.D.

  • Internal Medicine Physician
  • Englewood, FL
  • NPI 1497798342
  Medicare reassignment NPD
• Stephen Logan, M.D.

  • Family Medicine Physician
  • Englewood, FL
  • NPI 1326081761
  Authorized official Same address or phone

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275570517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 ENGLEWOOD RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231822",
            "telephone_number": "941-475-8291",
            "fax_number": "941-473-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 ENGLEWOOD RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231822",
            "telephone_number": "941-475-8291",
            "fax_number": "941-473-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMON BAY PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-475-8291",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Lebeau, PA-C
• Robert W Lees, M.A.
• Legacy Healthcare Services Inc
• Lemon Bay Dental Care PA
• Lemon Bay Mental Wellness Center
• Adina Leonard, PHARMD
• Noelle Claire Lipkin, ARNP BC
• Lew A Little, MD
• Lynette M Llerena, DO
• Stephen Logan, M.D.

• General Practice Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• General Practice 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.