Lake Butler Medical Clinic Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME81421 Issued in FL

Legal business name

LAKE BUTLER MEDICAL CLINIC INC

Practice address

675 E Main St
Lake Butler, FL 32054-1352

Phone

(386) 496-1328

Fax

(386) 496-2227

NPI assigned

Oct 18, 2005

Last updated

Jun 29, 2010By 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

Martha Regina Lloyd, MDNPI 1669660965

Title

Physician

Phone

(386) 496-1328

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practitioners 3

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.

• Martha Regina Lloyd

  • Family Medicine Physician
  • Lake Butler, FL
  • NPI 1669660965
  Medicare reassignment Care Compare group NPD Authorized official
• Tammy Jean Williams, ARNP

  • Family Nurse Practitioner
  • Starke, FL
  • NPI 1285877258
  Medicare reassignment Care Compare group NPD
• Holly Darlene Garver, APRN

  • Primary Care Nurse Practitioner
  • Lake Butler, FL
  • NPI 1972272870
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1871582296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320540188",
            "telephone_number": "386-496-1328",
            "fax_number": "386-496-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E MAIN ST",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320541352",
            "telephone_number": "386-496-1328",
            "fax_number": "386-496-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE BUTLER MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "386-496-1328",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME81421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266578600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farida Kazvinova
• Kevin B Harrison DC LLC
• Brittany Elizabeth Kilbury, CNA
• Kirby & Company Pharmacy LLC (Kirby and Company Pharmacy LLC)
• Kevin Lance Kirby, PHARMD
• Lake Butler Pharmacy LLC
• Michele Lewis
• Martha Regina Lloyd
• Zachary Douglas Lovvorn, PHARMD CANDIDATE
• Marvin W. Johnson M.D.

• Clinic/Center in Lake Butler, FL
• Providers in Lake Butler, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.