Aesculap Medical Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AESCULAP MEDICAL CLINIC LLC

Doing business as

aesculap medical clinic

Practice address

2101 Northside Dr Unit 601
Panama City, FL 32405-3687

Phone

(850) 215-5310

Fax

(850) 215-0159

NPI assigned

Aug 22, 2022

Last updated

Jan 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krzysztof T Lewandowski, MDNPI 1164415717

Title

Owner

Phone

(850) 215-5310

Specialties & licenses 2

Addresses

Other names 1

• aesculap medical clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krzysztof Tadeusz Lewandowski, M.D.

  • Internal Medicine Physician
  • Panama City, FL
  • NPI 1164415717
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1770201063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR UNIT 601",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053687",
            "telephone_number": "850-215-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NORTHSIDE DR UNIT 601",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053687",
            "telephone_number": "850-215-5310",
            "fax_number": "850-215-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESCULAP MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "KRZYSZTOF",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-215-5310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "aesculap medical clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "aesculap medical clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.