Clark Ltc PA
NPI 1104507235ActiveOrganization· Internal Medicine· Bushnell, FL
Internal Medicine in Bushnell, Florida, registered in NPPES in July 2023. The authorized official on file is Lowell F. Clark, MD, Owner.
Overview
| NPI | 1104507235 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2023 |
| Last updated in NPPES | Jul 31, 2023 |
| Certified by provider | Jul 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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