CHI Kwong Lai, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME129713 Issued in FL

Practice address

351 NE Franklin St
Ste 1
Lake City, FL 32055-3089

Phone

(386) 292-8250

Fax

(386) 292-7722

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mediscan Imaging Inc

  • Mobile Radiology Clinic/Center
  • Charlotte, NC
  • NPI 1164737755
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1437141967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-778-8513",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NE FRANKLIN ST",
            "address_2": "STE 1",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553089",
            "telephone_number": "386-292-8250",
            "fax_number": "386-292-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "CHI",
        "middle_name": "KWONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "23589",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME129713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Boggs Kuykendall, LMHC
• Kayli Rian Kvistad
• L L Nurse Practitioner Consutling LLC LL Aesthethics LLC
• Brenda Kay Lacy, LD/N
• Christopher J. Lacy, P.T.A.
• Lake City Cancer Care LLC
• Lake City Cancer Care LLC
• Lake City Chiropractic and Massage
• Lake City Dental
• Lake City Eye Physicians, LLC

• Cardiovascular Disease Physician in Lake City, FL
• Providers in Lake City, 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 6, 2016; 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.