Rinehart Lake Mary Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1225 Issued in FL

Legal business name

RINEHART LAKE MARY SURGICAL CENTER

Practice address

917 Rinehart Rd
Suite 1001
Lake Mary, FL 32746-4802

Phone

(407) 708-5383

Fax

(407) 708-5396

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl M. Modica, RN,LHRM

Title

Administrator

Phone

(407) 708-5383

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Talal E Hilal, MD

  • Gastroenterology Physician
  • Maitland, FL
  • NPI 1346253861
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811995137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD",
            "address_2": "SUITE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464802",
            "telephone_number": "407-708-5383",
            "fax_number": "407-708-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD",
            "address_2": "SUITE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464802",
            "telephone_number": "407-708-5383",
            "fax_number": "407-708-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINEHART LAKE MARY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MODICA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-708-5383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,LHRM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASC LICENSE",
            "identifier": "1225",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haylei Summer Riedel
• Right Choice Senior Activity Center LLC
• Shawn Riker
• Clarence Riley Jr.
• Afrina Hossain Rimu, MD, MS
• Rinehart Road Surgery Center, LLC
• Rinehart Surgery Center of Lake Mary LLC
• Rion J Forconi MD PA
• Annette Rios
• Sabrina Rios

• Ambulatory Surgical Clinic/Center in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.