Lakeshore Rheumatology, PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

LAKESHORE RHEUMATOLOGY, PLLC

Practice address

15532 W Colonial Dr Ste C
Winter Garden, FL 34787-9570

Phone

(407) 554-9200

Fax

(407) 554-9202

NPI assigned

Feb 21, 2024

Organization subpart

No

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

Authorized official

Name

Andrea McCullum Mejia, DONPI 1023464054

Title

Physician, Sole Owner

Phone

(502) 693-5269

Specialties & licenses 1

Addresses

Other names 1

• Lakeshore Rheumatology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Andrea McCullum Mejia, D.O.

  • Rheumatology Physician
  • Plainfield, IN
  • NPI 1023464054

  FL

  Medicare reassignment NPD Authorized official
• Juan Carlos Mejia Garces, M.D.

  • Internal Medicine Physician
  • Plainfield, IN
  • NPI 1679883771

  FL, Rheumatology

  Medicare reassignment NPD

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1942065677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15532 W COLONIAL DR STE C",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879570",
            "telephone_number": "407-554-9200",
            "fax_number": "407-554-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15532 W COLONIAL DR STE C",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879570",
            "telephone_number": "407-554-9200",
            "fax_number": "407-554-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE RHEUMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-04-03",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "MCCULLUM MEJIA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PHYSICIAN, SOLE OWNER",
        "authorized_official_telephone_number": "502-693-5269",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul L Kujda, RPH
• Sajo Kurian, PA-C
• Shakera Labadie, BT, RBT, BACB
• Alexis Laduke
• Lake Butler Dental Group PA
• Taina Laloi, RCSWI
• David Chad Lamoreaux, M.D.
• Joan Lampkin, MA
• Raymond Gregory Lande, DO
• Richard Lang, CRNA

• Rheumatology Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.