Adult Medicine of Lake County Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADULT MEDICINE OF LAKE COUNTY INC

Practice address

3619 Lake Center Dr
Mount Dora, FL 32757-2364

Phone

(352) 383-8222

Fax

(352) 383-1420

NPI assigned

Dec 8, 2006

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shirley Nagel, M.D.NPI 1043213366

Title

President

Phone

(352) 383-8222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 9

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.

• Shirley Ann Nagel, M.D.

  • Internal Medicine Physician
  • Mount Dora, FL
  • NPI 1043213366
  Medicare reassignment Care Compare group NPD Authorized official
• Robert A Martello, DO

  • Family Medicine Physician
  • Mount Dora, FL
  • NPI 1205879236
  Medicare reassignment Care Compare group NPD
• Eleanor Frances Davina, D.O.

  • Internal Medicine Physician
  • Mount Dora, FL
  • NPI 1477556785
  Medicare reassignment Care Compare group
• Layna Christine Gamwell, APRN

  • Primary Care Nurse Practitioner
  • Mount Dora, FL
  • NPI 1336654797
  NPD
• Shareen Sutherland, NP

  • Family Nurse Practitioner
  • Mount Dora, FL
  • NPI 1285275206
  NPD
• Lakeisha Lind Guilliam

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1336918358
  NPD (past)
• Barbara Lynn Haskell, ARNP

  • Family Nurse Practitioner
  • Mount Dora, FL
  • NPI 1679820054
  NPD (past)
• Rebecca Holliman, MSN, NP-C, RN-BC

  • Nurse Practitioner
  • Mount Dora, FL
  • NPI 1629348677
  NPD (past)
• Amanda Jon McNally Yatabe, APRN

  • Family Nurse Practitioner
  • Lake Mary, FL
  • NPI 1316537756
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1851450209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572364",
            "telephone_number": "352-383-8222",
            "fax_number": "352-383-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572364",
            "telephone_number": "352-383-8222",
            "fax_number": "352-383-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MEDICINE OF LAKE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-383-8222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abundant Life Nursing LLC
• Katherine Acosta
• Acute Integrative Medical Therapies
• Kara Adams, COTA/L
• Serina Gay Adams
• Advanced Dental Care of Mt Dora P.a.
• Advanced Integrative Medical Therapies, LLC
• Advanced Physical Therapy of Lake County, Inc.
• Advanced Prosthetics of America, Inc. (Hanger Clinic)
• Adventist Health System/Sunbelt, Inc. (AdventHealth Centra Care - Mount Dora)

• Internal Medicine Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.