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Individual provider Active NPI

David Strang

  • Medical Physician Assistant
  • Lecanto, FL
National Provider Identifier
1396454344
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9116634 Issued in FL
Practice address
1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone
(352) 527-6888
NPI assigned
Nov 18, 2022
Last updated
Sep 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116634 FL
Medical Physician Assistant 363AM0700X PA9116634 FL Primary

Addresses

Primary practice location

1990 N Prospect Ave
Lecanto, FL 34461-9792

Mailing address

1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

Other practice location 1

1907 Highway 44 W
Inverness, FL 34453-3801
Phone (352) 344-2273

Other identifiers 1

IdentifierTypeStateIssuer
116808900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118000330 FL Practitioner - Physician Assistant 1951772623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

1980 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116634FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Internal Medicine Specialists Inc CurrentSince Dec 19, 2022 Accepting new patients
Pedim Outreach and Specialty Clinic LLC CurrentSince Jan 19, 2026 Accepting new patients
Pedim Outreach and Specialty Clinic LLC CurrentSince Jan 19, 2026 Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients

Locations

1982 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6858

2385 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-6888

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1396454344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 N PROSPECT AVE",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619792",
            "telephone_number": "352-527-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N PROSPECT AVE",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619792",
            "telephone_number": "352-527-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 Highway 44 W",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344533801",
            "country_code": "US",
            "telephone_number": "352-344-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRANG",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116634",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116808900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.