Mariusz J Klin M D P A
NPI 1508021684ActiveOrganization· Internal Medicine, Gastroenterology· Panama City, FL
Internal Medicine, Gastroenterology in Panama City, Florida, registered in NPPES in July 2008. The authorized official on file is Stephne Ann Blackwell, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508021684 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2008 |
| Last updated in NPPES | Jul 23, 2025 |
| Certified by provider | Jul 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | ME85851 | FL |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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