Lakeland Physicians & Associates, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LAKELAND PHYSICIANS & ASSOCIATES, LLC

Practice address

1818 Harden Blvd
Ste 120
Lakeland, FL 33803-1812

Phone

(863) 210-5640

Fax

(863) 210-5716

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Jean Thomas

Title

Practice Administrator

Phone

(863) 210-5640

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

Locations

Practitioners 2

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

• Avantica Gondi, MD

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1063673812
  Medicare reassignment NPD
• Lindsey N Wells, PA-C

  • Physician Assistant
  • Plant City, FL
  • NPI 1174826481
  Medicare reassignment

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1427429281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470426",
            "city": "LAKE MONROE",
            "state": "FL",
            "postal_code": "327470426",
            "telephone_number": "863-210-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 HARDEN BLVD",
            "address_2": "STE 120",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031812",
            "telephone_number": "863-210-5640",
            "fax_number": "863-210-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND PHYSICIANS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "863-210-5640"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Oaks NH LLC
• Lakeland OBGYN PA
• Lakeland Oral Surgery and Specialty Center PLLC
• Lakeland Pathologists, PA
• Lakeland Periodontics, Inc
• Lakeland Physicians Group
• Lakeland Physicians Group LLC
• Lakeland Primary Care Associates
• Lakeland Professional Hearing Center, Inc.
• Lakeland Regional Health

• Primary Care Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.