Sand Lake Cancer Center, PA
NPI 1609278597ActiveOrganization· Physician Assistant, Medical· Orlando, FL
Physician Assistant, Medical in Orlando, Florida, registered in NPPES in September 2014. The authorized official on file is Asha Jiawan, Practice Administrator.
Overview
| NPI | 1609278597 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2014 |
| Last updated in NPPES | Nov 11, 2022 |
| Certified by provider | May 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA9106328 | FL |
| Specialist | 174400000X | ME73340 | FL |
| Specialist | 174400000X | ME76724 | FL |
| Specialist | 174400000X | ME116521 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Physician Assistant, Medical providers in Orlando
- 1285165290
- 1295650794
- 1013212067
- 1548143274
- 1225988041
- 1295110765
- 1093756983
- 1356765366
- 1720654890
- 1750713707
- 1851804157
- 1427587328