Passavant Physician Association
NPI 1720370778ActiveOrganization· Internal Medicine· Jacksonville, IL
Internal Medicine in Jacksonville, Illinois, registered in NPPES in May 2011. The authorized official on file is Stephen G. Lee, Manager.
Overview
| NPI | 1720370778 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2011 |
| Last updated in NPPES | Jul 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 036091905 | IL |
| Internal Medicine | 207R00000X | 036056832 | IL |
| Nurse Practitioner, Adult Health | 363LA2200X | 209004842 | IL |
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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