Lake Cardiology PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

LAKE CARDIOLOGY PA

Practice address

250 East Fourth Avenue
Mount Dora, FL 32757-5536

Phone

(352) 735-1400

Fax

(352) 735-3300

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth David Kronhaus, MDNPI 1700990546

Title

President

Phone

(352) 735-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

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

• Kenneth David Kronhaus, MD

  • Cardiovascular Disease Physician
  • Mount Dora, FL
  • NPI 1700990546
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin L Casey, PA-C

  • Physician Assistant
  • Mount Dora, FL
  • NPI 1992907273
  Medicare reassignment Care Compare group
• Brenda Rena Grier, ARNPC

  • Nurse Practitioner
  • Mount Dora, FL
  • NPI 1295849024
  NPD (past)
• Kehinde A Layeni, M.D.

  • Specialist
  • Tavares, FL
  • NPI 1306832456
  NPD (past)
• Wilberto L Lopez, M.D.

  • Cardiovascular Disease Physician
  • Lake Mary, FL
  • NPI 1275639544
  NPD (past)
• Thomas F Parente, MD

  • Cardiovascular Disease Physician
  • Tavares, FL
  • NPI 1093806499
  NPD (past)
• Robert A Walther, PA-C

  • Medical Physician Assistant
  • Mount Dora, FL
  • NPI 1548394539
  NPD (past)
• Ashvin D. Patel, M.D.

  • Internal Medicine Physician
  • Fredericktown, MO
  • NPI 1548235419
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1346349529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EAST FOURTH AVENUE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575536",
            "telephone_number": "352-735-1400",
            "fax_number": "352-735-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EAST FOURTH AVENUE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575536",
            "telephone_number": "352-735-1400",
            "fax_number": "352-735-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "KRONHAUS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-735-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057697200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth David Kronhaus, MD
• Caroline Elizabeth Krueger, D.M.D.
• Karen S Kyle, OTR/L
• Dukens Labaze, M.D.
• Stephanie M Lacquaniti, D.M.D.
• Lake County Adult Activity Center Inc
• Lake Emergency Medical Services, Inc.
• Lake Pediatrics P. a.
• Lake Pediatrics P. a.
• Lake Sumpter Orthopedic

• Cardiovascular Disease Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.