Organization Active NPI

Lakeview Internal Medicine P a

  • Internal Medicine Physician
  • Mount Dora, FL
National Provider Identifier
1487699526
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAKEVIEW INTERNAL MEDICINE P A
Practice address
18550 US Highway 441
Suite a
Mount Dora, FL 32757-6725
Phone
(352) 735-3755
Fax
(352) 735-3151
NPI assigned
Jun 20, 2006
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Khai Sheng Chang, M.D.NPI 1881665222
Title
President
Phone
(352) 735-3755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

18550 US Highway 441
Suite a
Mount Dora, FL 32757-6725

Mailing address

18550 US Highway 441
Suite a
Mount Dora, FL 32757-6725
Phone (352) 735-3755

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1013886Lakeview Internal Medicine18550 US Hwy 441 Ste a, Mount Dora, FL 32757Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Internal Medicine P a2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18550 US Highway 441
Ste A
Mount Dora, FL 32757
Phone (352) 735-3755

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1487699526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "address_2": "SUITE A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576725",
            "telephone_number": "352-735-3755",
            "fax_number": "352-735-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "address_2": "SUITE A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576725",
            "telephone_number": "352-735-3755",
            "fax_number": "352-735-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW INTERNAL MEDICINE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KHAI",
        "authorized_official_middle_name": "SHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-735-3755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.