Lakeside Dermatology LLC
NPI 1922257260ActiveOrganization· Dermatology· Sebring, FL
Dermatology in Sebring, Florida, registered in NPPES in September 2008. The authorized official on file is Michael Joseph Rogers, MD, Sole Mbr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922257260 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2008 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | ME0058778 | FL |
| Dermatology, Procedural Dermatology | 207NS0135X | ME0058778 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Dermatology providers in Sebring
- 1861487795
- 1942183132
- 1780852202
- 1003876053
- 1144215898