Lowell F. Clark MD PA
NPI 1629278882ActiveOrganization· Internal Medicine· Bushnell, FL
Internal Medicine in Bushnell, Florida, registered in NPPES in July 2007. The authorized official on file is Elizabeth E. Folk, ED.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629278882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2007 |
| Last updated in NPPES | Dec 21, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME45090 | 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) |
|---|
Other Internal Medicine providers in Bushnell
- 1235696329
- 1104507235
- 1619976198
- 1336103563
- 1659322089