O W S MEDICAL, LLC
NPI 1578182895
Podiatrist - Foot & Ankle Surgery in Tavares, FL
About O W S Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
O W S MEDICAL, LLC (NPI 1578182895), doing business as Mid Lake Foot And Ankle, is a healthcare organization registered as a foot & ankle surgery in Tavares, Florida and active in the NPI registry since April 2020. The organization lists Breanna J. Ferguson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
O W S Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 O W S Medical, LLC's NPI number?
The NPI number for O W S Medical, LLC is 1578182895. It was assigned to this organization in the NPPES registry on April 16, 2020. The provider is doing business as Mid Lake Foot and Ankle.
Where is O W S Medical, LLC located?
O W S Medical, LLC is located at 870 S Duncan Dr, Tavares, FL 32778. The listed phone number is (352) 432-8434.
What is O W S Medical, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is O W S Medical, LLC enrolled in Medicare?
Yes. O W S Medical, LLC is registered in the Medicare PECOS enrollment system.
When is O W S Medical, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for O W S Medical, LLC was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# O W S Medical, Llc · NPI 1578182895
Foot & Ankle Surgery organization in Tavares, Florida. Organization record, active in the CMS NPPES registry since April 16, 2020.
## Identity
- **NPI:** 1578182895 (Entity type: Organization)
- **Enumerated:** April 16, 2020
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Also known as:** Mid Lake Foot and Ankle (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Breanna Ferguson, OWNER
## Practice location
- **Address:** 870 S DUNCAN DR, Tavares, FL 32778-4044
- **Phone:** (352) 432-8434
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Florida, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1578182895) · Data from the CMS NPPES public registry.