Lyle E Wadsworth MD PA
NPI 1205018207ActiveOrganization· Internal Medicine· Deland, FL
Internal Medicine in Deland, Florida, registered in NPPES in November 2007. The authorized official on file is Lyle E. Wadsworth, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205018207 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2007 |
| Last updated in NPPES | Mar 6, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME30902 | FL |
| Internal Medicine, Geriatric Medicine | 207RG0300X | ME30902 | FL |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | ME30902 | 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 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) |
|---|
Other Internal Medicine providers in Deland
- 1467758532
- 1720381833
- 1801161682
- 1538325428
- 1053408799
- 1023394707
- 1962460410
- 1124465299
- 1134489008
- 1497721641
- 1245298793
- 1700046950