Lake Nona Medical Services

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LAKE NONA MEDICAL SERVICES

Practice address

115 E Lancaster Rd
Orlando, FL 32809-6689

Phone

(407) 378-6686

Fax

(407) 378-4633

NPI assigned

Jul 3, 2019

Last updated

Jul 25, 2019By 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

Catherine M Arevalo, MDNPI 1548616378

Title

MD

Phone

(561) 574-9186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 4

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.

• Catherine M Arevalo, M.D.

  • General Practice Physician
  • Orlando, FL
  • NPI 1548616378

  Single Specialty

  Medicare reassignment NPD Authorized official
• Jorge Enrique Alvarez Pinzon, MD

  • Pain Medicine (Anesthesiology) Physician
  • Langhorne, PA
  • NPI 1720396138

  FL

  Medicare reassignment NPD
• Ehrentraud Johanna Eichelbaum, M.D.

  • General Practice Physician
  • Katy, TX
  • NPI 1255518486

  FL

  Medicare reassignment NPD
• Carley Katlyn Beauge, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1831689116
  NPD

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1285296798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LANCASTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096689",
            "telephone_number": "407-378-6686",
            "fax_number": "407-378-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LANCASTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096689",
            "telephone_number": "407-378-6686",
            "fax_number": "407-378-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NONA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-574-9186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Nona Dental Group PLC
• Lake Nona Emergency Physicians LLC
• Lake Nona Endodontics PA (Advanced Endodontics)
• Lake Nona Eye Care, LLC
• Lake Nona Inpatient Services LLC
• Lake Nona Ophthalmology PL
• Lake Nona Psychiatric Associates, LLC
• Lake Nona Psychiatric Center, PA
• Lake Nona Spine Center, Inc.
• Lake Nona Surgery Center, LLC

• General Practice Physician in Orlando, FL
• Providers in Orlando, 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 Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.