Active NPI
Lathem Kane-Claggett Wojno, MD
- Family Medicine Physician
- Fort Myers, FL
National Provider Identifier
1629837752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME175751
- Practice address
- 2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857 - Phone
- (239) 343-3831
- Fax
- (239) 343-2301
- NPI assigned
- Mar 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME175751 | FL | Primary |
Addresses
Primary practice location
2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3831
Other practice location 1
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131514000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lwojno403421@Direct.leememorial.org | Direct | LEE HEALTH SYSTEM INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260604002246 | FL | Practitioner - Family Practice | 0941771554 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 2147
Fort Myers, FL 33902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME175751 | FL | MD | Family Medicine Physician |
Interoperability endpoints
- lwojno403421@direct.leememorial.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1629837752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-3831",
"fax_number": "239-343-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 CLEVELAND AVE STE 709",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015857",
"telephone_number": "239-343-3831",
"fax_number": "239-343-2301"
}
],
"practiceLocations": [
{
"address_1": "2776 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339015864",
"country_code": "US",
"telephone_number": "239-343-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOJNO",
"first_name": "LATHEM",
"middle_name": "KANE-CLAGGETT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-19",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME175751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131514000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwojno403421@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "LEE HEALTH SYSTEM INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.