Lifeway Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS6563 Issued in FL

Legal business name

LIFEWAY INC

Practice address

5333 N Dixie Hwy
Suite 110
Oakland Park, FL 33334-3414

Phone

(954) 772-8554

Fax

(954) 772-9662

NPI assigned

Jul 30, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marah J. Lee, D.O.NPI 1518923010

Title

President

Phone

(954) 772-8554

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 5

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.

• Marah J Lee, D.O.

  • Internal Medicine Physician
  • Oakland Park, FL
  • NPI 1518923010
  Medicare reassignment Care Compare group NPD Authorized official
• Scott Hall, M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1972578219
  Medicare reassignment Care Compare group NPD
• Andre Alfredo Ampudia, PA

  • Physician Assistant
  • Oakland Park, FL
  • NPI 1841075843

  Internal Medicine

  NPD
• Rebecca Lea Colon, D.O.

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1316994445
  NPD (past)
• James N Luckett, MD

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1114938495
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1568477156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "SUITE 110",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343414",
            "telephone_number": "954-772-8554",
            "fax_number": "954-772-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "SUITE 110",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343414",
            "telephone_number": "954-772-8554",
            "fax_number": "954-772-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARAH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-772-8554",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS6563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Lewis
• Celio Leyva Romero
• Codie Li
• Libby Chiropractic Center, PLLC
• Liberty DME LLC
• Benjamin Davis Lifland, LCSW, MHA, LMFT
• Christopher Lilly
• Henry Lin, MD
• Linda Cox MD PA
• Linda Keene Inc

• Internal Medicine Physician in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.