Lakeview Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18959 Issued in SC

Legal business name

LAKEVIEW INTERNAL MEDICINE PA

Practice address

223 Main St
Seneca, SC 29678-3245

Phone

(864) 985-1122

Fax

(864) 985-1817

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carmine Fiorentino, M.D.NPI 1205874039

Title

President

Phone

(864) 985-1122

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHGGAA

Practitioners 1

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.

• Carmine Fiorentino, MD

  • Internal Medicine Physician
  • Seneca, SC
  • NPI 1205874039
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1851339329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 577",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296790577",
            "telephone_number": "864-985-1122",
            "fax_number": "864-985-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296783245",
            "telephone_number": "864-985-1122",
            "fax_number": "864-985-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "FIORENTINO",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-985-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2702",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Kroeger, RD, CDCES
• Amal Kuzmar
• Peter Kennedy Kwofie, M.D.
• Amanda Mays Lack, APRN
• Lake Ridge Neurological
• Dan T Lam, MD
• David J Lamon, MD
• Aimee E Land, COTA
• Chana Ashlan Land, LPC, LPCS
• Madison W Lanford, D.M.D.

• Internal Medicine Physician in Seneca, SC
• Providers in Seneca, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.