Heathrow Internal Medicine LLC
NPI 1033387865ActiveOrganization· Family Medicine· Lake Mary, FL
Family Medicine in Lake Mary, Florida, registered in NPPES in February 2008. The authorized official on file is Tedrick Johnson, Group Vp Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033387865 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2008 |
| Last updated in NPPES | May 28, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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