Lake Pulmonary Critical Care P a

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

LAKE PULMONARY CRITICAL CARE P A

Practice address

1876 Nightingale LN
Tavares, FL 32778-4359

Phone

(352) 742-4447

Fax

(352) 742-4448

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Lynn Barber

Title

Operations Manager

Phone

(352) 742-4631

Specialties & licenses 5

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Edgar J Geigel, MD

  • Pulmonary Disease Physician
  • Orlando, FL
  • NPI 1609820166
  NPD (past)
• Mary E Pollice, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1689669194
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1851372494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 NIGHTINGALE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784359",
            "telephone_number": "352-742-4447",
            "fax_number": "352-742-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 NIGHTINGALE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784359",
            "telephone_number": "352-742-4447",
            "fax_number": "352-742-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PULMONARY CRITICAL CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "352-742-4631",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9218919",
            "primary": false
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "FL",
            "license": "ARNP9218919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254399100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "21518",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "2900100538",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake County Schools
• Lake Gastroenterology Associates LLC
• Lake Hospital Care Associates PA
• Lake Pulmonary Critical Care
• Lake Pulmonary Critical Care
• Lake Rheumatology
• Lakeside Kidney Care, LLC
• Lakeside Kidney Care, LLC
• Lakeside Kidney Care, LLC
• Frank Lamoso, HAD

• Pulmonary Disease Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.