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Lewis & Klancke Cardiology, P.A.

Cardiovascular Disease Physician in Port Orange, FL · enumerated 2022 · authorized official Kathleen Phillips, Credentialing Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205557691

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Registry record

Entity type Organization (Type 2)
Legal business name Lewis & Klancke Cardiology, P.A.
Other name <Unavail>
Parent organization Lewis & Klancke Caradiology, P.A.
Practice address 780 Dunlawton Ave Ste 101, Port Orange, FL, 32127
Fax (386) 265-5928
Enumeration date Sep 6, 2022
Last updated in NPPES Oct 3, 2023

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary
207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary
207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Kathleen Phillips
Title Credentialing Coordinator

Other identifiers

Identifier Type State Issuer
99279 Other FL OTHER
119006900 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Lewis & Klancke Cardiology, P.A.?
Lewis & Klancke Cardiology, P.A. is registered in NPPES as a Cardiovascular Disease Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-03.