Lewis & Klancke Cardiology PA
NPI 1558405639ActiveOrganization· Internal Medicine, Cardiovascular Disease· Orange City, FL
Internal Medicine, Cardiovascular Disease in Orange City, Florida, registered in NPPES in February 2007, part of Lewis & Klancke Cardiology PA. The authorized official on file is Kathleen T. Phillips, Credentialing Coordinator.
Overview
| NPI | 1558405639 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lewis & Klancke Cardiology PA |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | Sep 7, 2022 |
| Certified by provider | Sep 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
| Internal Medicine, Interventional Cardiology | 207RI0011X | — | — |
| Nuclear Medicine, Nuclear Cardiology | 207UN0901X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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