Phoenix Integrated Medical Center
NPI 1578119723ActiveOrganization· Nurse Practitioner· Winter Park, FL
Nurse Practitioner in Winter Park, Florida, registered in NPPES in August 2019. The authorized official on file is Troy D. Yeomans, DC, Manager. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1578119723 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2019 |
| Last updated in NPPES | Jun 8, 2020 |
| Certified by provider | Jun 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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 DME Supplier - Physician - General Practice (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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