Active NPI
Lake City Outpatient Anesthesia PLLC
- Anesthesiology Physician
- Lake City, FL
National Provider Identifier
1487538104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LAKE CITY OUTPATIENT ANESTHESIA PLLC
- Practice address
- 4367 NW American LN
Lake City, FL 32055-4828 - Phone
- (386) 758-6094
- NPI assigned
- Aug 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Collin Lemaistre
- Title
- Officer/Authorized Official
- Phone
- (214) 213-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
4367 NW American LN
Lake City, FL 32055-4828
Mailing address
4367 NW American LN
Lake City, FL 32055-4828
Phone (386) 758-6094
National Provider Directory
National Provider Directory- Tax ID family
- Lake City Outpatient Anesthesia
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Lake City, FL
- NPI 1316171010
Locations
4367 NW American Ln
Lake City, FL 32055
Phone (386) 758-6094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1487538104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4367 NW AMERICAN LN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320554828",
"telephone_number": "386-758-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4367 NW AMERICAN LN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320554828",
"telephone_number": "386-758-6094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE CITY OUTPATIENT ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "LEMAISTRE",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-213-0732"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.