Lyle E Wadsworth (NPI# 1356347561, PAC ID# 6709969140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356347561 |
| PAC ID by PECOS | 6709969140 |
| Professional Enrollment ID | I20080208000259 |
| Full Name | Lyle E Wadsworth |
| Address |
890 N Boundary Ave Suite 102 Deland FL 32720-3173 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 890 N Boundary Ave, Suite 102, Deland, FL 32720-3173 |
| Street Address |
890 N BOUNDARY AVE SUITE 102 |
| City | DELAND |
| State | FL |
| Zip | 32720-3173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan W Johnston | Physical Therapy | Trittschuh Physical Therapy Inc | 890 N Boundary Ave, Suite 200, Deland, FL 32720-3173 |
| Brittany L Nelson | Physical Therapy | Trittschuh Physical Therapy Inc | 890 N Boundary Ave, Suite 200, Deland, FL 32720-3173 |
| Shana L Kendrick | Physical Therapy | Trittschuh Physical Therapy Inc | 890 N Boundary Ave, Suite 200, Deland, FL 32720-3173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen G Weiss | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Thomas M Corbyons | General Surgery | Memorial Hospital-west Volusia Inc | 685 Peachwood Dr, Deland, FL 32720-0804 |
| John Claude Pearson | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Michael S Grable | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Chelsie Renee Ferrell | Physician Assistant | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Michael Joseph Donohoe | General Surgery | Memorial Hospital-west Volusia Inc | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Jeanette L Lain | Physician Assistant | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Sue-ellen Elizabeth Griffith | Family Medicine | Memorial Hospital-west Volusia Inc | 1070 N Stone St A, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Martin Gino F Prado | Gastroenterology | Memorial Hospital-west Volusia Inc | 1070 N Stone St D, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Joseph B Depeyster | Internal Medicine | Memorial Hospital-west Volusia Inc | 1070 N Stone St A, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Find all physicians in zip 32720 | |||
| City | DELAND |
| Zip Code | 32720 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DELAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lyle E Wadsworth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.