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LYLE E WADSWORTH MD PA
NPI 1205018207
Internal Medicine in Deland, FL

Active since November 30, 2007
890 N BOUNDARY AVE STE 102, DELAND, FL 32720(386) 740-0224 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lyle E Wadsworth Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYLE E WADSWORTH MD PA (NPI 1205018207) is a healthcare organization registered as an internal medicine in Deland, Florida and active in the NPI registry since November 2007. The organization lists Lyle E. Wadsworth, President, as its authorized official.

NPPES Registry Identity

NPI1205018207
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLYLE E WADSWORTH MD PA
Location Address890 N BOUNDARY AVE STE 102Deland, FL 32720-3173
Mailing Address890 N Boundary Ave Ste 102Deland, FL 32720-3173 · (386) 740-0224
Phone(386) 740-0224
Organization SubpartNo
Authorized OfficialLyle E. WadsworthPresident · (386) 740-0224
Enumeration DateNovember 30, 2007
Last NPPES UpdateMarch 6, 2008
✔ NPI 1205018207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME30902
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License ME30902 (FL)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License ME30902 (FL)
890 N BOUNDARY AVE STE 102, Deland, FL 32720
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Other Identifiers 6

Medicare UPIND56770FL
Other000050266105FL · Unitedhealthcare
Other5490138FL · Aetna
Other64391FL · Blue Cross Blue Shield
Other2198298007FL · Cigna
Medicare PINAH947FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyle E Wadsworth MD PA's NPI number?

The NPI number for Lyle E Wadsworth MD PA is 1205018207. It was assigned to this organization in the NPPES registry on November 30, 2007.

Where is Lyle E Wadsworth MD PA located?

Lyle E Wadsworth MD PA is located at 890 N Boundary Ave Ste 102, Deland, FL 32720. The listed phone number is (386) 740-0224.

What is Lyle E Wadsworth MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Lyle E Wadsworth MD PA was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.