Lake Erie College of Osteopathic Medicine
NPI 1467087296ActiveOrganization· Family Medicine· Englewood, FL
Family Medicine in Englewood, Florida, registered in NPPES in March 2020. The authorized official on file is Tatiana Robles, Credentialing Cooridator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467087296 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2020 |
| Last updated in NPPES | Mar 12, 2020 |
| Certified by provider | Mar 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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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