Norma Salenah Lake, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 81467 Issued in FL

Practice address

11160 SW 88TH Street
Suites 104 & 105
Miami, FL 33176-0949

Phone

(786) 263-0911

Fax

(786) 263-0761

NPI assigned

Jul 15, 2005

Last updated

Jul 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Physicians of Kendall LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1952585796
  Medicare reassignment Authorized official
• Associates in Women's Health LLC

  • Health Service Clinic/Center
  • Sylvania, OH
  • NPI 1285784587
  NPD (past)
• Emergency Medicine Group

  • Specialist
  • Sylvania, OH
  • NPI 1225086085
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1912906686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 SW 88TH STREET",
            "address_2": "SUITES 104 & 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760949",
            "telephone_number": "786-263-0911",
            "fax_number": "786-263-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 SW 88TH STREET",
            "address_2": "SUITES 104 & 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760949",
            "telephone_number": "786-263-0911",
            "fax_number": "786-263-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "NORMA",
        "middle_name": "SALENAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35068277",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 81467",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4595588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000141284",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMOH",
            "identifier": "578183170-007",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151642",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "01-03310",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "080130460",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0637962",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lajas Medical Supply Corp
• Taylor Nicole Lakatis
• Lake Catherine Holdings LLC (Bayside Post-Acute)
• Gaspar Dixan Lake Perez
• Michael Thomas Lake, M.D.
• Rose Mary Lake
• Lakes Medical & Wellness LLC
• Lakes Psychiatry LLC
• Lakeside Neurology and Radiology
• Lakeview Alf, Corp.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.