Heartland Surgical Assistants, Inc
NPI 1689764763ActiveOrganization· Physician Assistant· Winter Haven, FL
Physician Assistant in Winter Haven, Florida, registered in NPPES in October 2006. The authorized official on file is Kevin K. Carlisle, PAC, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689764763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA1682 | 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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