Lake Wale Pediatric Internal Medicine P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME87271-ME90317 Issued in FL

Legal business name

LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A.

Practice address

425 S 11TH St
Lake Wales, FL 33853-4239

Phone

(863) 676-8935

Fax

(863) 679-2691

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Oscar Amador Oropeza, M.D.NPI 1437106374

Title

Medical Doctor

Phone

(863) 676-8935

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Oscar Amador Oropeza, M.D.

  • Internal Medicine Physician
  • Lake Wales, FL
  • NPI 1437106374
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Claudia Solorzano, M.D.

  • Pediatrics Physician
  • Lake Wales, FL
  • NPI 1629018726
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831362805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534239",
            "telephone_number": "863-676-8935",
            "fax_number": "863-679-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534239",
            "telephone_number": "863-676-8935",
            "fax_number": "863-679-2691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Druid Cir",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338534307",
            "country_code": "US",
            "telephone_number": "863-676-8935",
            "fax_number": "863-679-2691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OROPEZA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "AMADOR",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "863-676-8935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME87271-ME90317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER GROUP",
            "identifier": "AL 597",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sergey M Kondrashov
• Kris Fitzgerald, LMHC, PLLC
• L & E Express Transport, Inc
• L & E Helping Hands LLC
• Salim Lahlou, M.D.
• Lake Wales Charter Schools Inc
• Lake Wales Chiropractic Center Inc
• Lake Wales Clinic Corp
• Lake Wales Dental Associates
• Lake Wales Emergency Physicians, LLC

• Primary Care Clinic/Center in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.