Active NPI
Lake Howell Family Medicine Associates
- Family Medicine Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0003966
- Legal business name
- LAKE HOWELL FAMILY MEDICINE ASSOCIATES
- Practice address
- 590 Ruby CT
Maitland, FL 32751-5226 - Phone
- (407) 677-4867
- Fax
- (407) 677-4203
- NPI assigned
- May 2, 2006
- 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
- Dr. William Mark Silverman, DO
- Title
- Physician Owner
- Phone
- (407) 677-4867
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0003966 | FL | Primary |
Addresses
Primary practice location
590 Ruby CT
Maitland, FL 32751-5226
Mailing address
590 Ruby CT
Maitland, FL 32751-5226
Phone (407) 677-4867
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373802700 | Medicaid | FL | |
| 33370 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0722148 | Lake Howell Family Medicine Associates | Certificate of waiver | Nov 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
590 Ruby Ct
Maitland, FL 32751
Phone (407) 677-4867
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Maitland, FL
- NPI 1083619639
-
- Internal Medicine Physician
- Maitland, FL
- NPI 1346595139
-
- Family Nurse Practitioner
- Maitland, FL
- NPI 1598903411
-
- Nurse Practitioner
- Orange City, FL
- NPI 1114433828
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1548301872
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1518301886
-
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
- NPI 1710485511
Family Medicine
-
- Adult Health Nurse Practitioner
- Orlando, FL
- NPI 1871958207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602720000000",
"number": "1497713390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 RUBY CT",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515226",
"telephone_number": "407-677-4867",
"fax_number": "407-677-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 RUBY CT",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515226",
"telephone_number": "407-677-4867",
"fax_number": "407-677-4203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE HOWELL FAMILY MEDICINE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A",
"authorized_official_last_name": "SILVERMAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "407-677-4867",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0003966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373802700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "33370",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.