Michael Abraham Lebedev, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0050395 Issued in FL

Practice address

202 Howard St
Suite 2
Auburndale, FL 33823-3435

Phone

(863) 967-6673

Fax

(863) 551-9313

NPI assigned

Oct 26, 2006

Last updated

Aug 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

State licenses

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

• Michael a. Lebedev, M.D.

  • Family Medicine Physician
  • Auburndale, FL
  • NPI 1558750836
  Authorized official Same address or phone

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1770668048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HOWARD ST",
            "address_2": "SUITE 2",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233435",
            "telephone_number": "863-967-6673",
            "fax_number": "863-551-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HOWARD ST",
            "address_2": "SUITE 2",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338233435",
            "telephone_number": "863-967-6673",
            "fax_number": "863-551-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBEDEV",
        "first_name": "MICHAEL",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0050395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048443100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeland Regional Health Systems, Inc.
• Kimberley Lawrence
• Crystalyn Lawson
• Johnnie Lawson Jr.
• Ashtyn Brooke Leatherwood
• Leonard Leblanc
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• Emanuel Levy
• Stephanie Lewis
• Valerie Denise Lewis, RN

• Family Medicine Physician in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.