LAWNWOOD CARDIOVASCULAR SURGERY LLC – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1386724169

LAWNWOOD CARDIOVASCULAR SURGERY LLC is a healthcare provider. based in Fort pierce, Florida. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. The NPI Number for LAWNWOOD CARDIOVASCULAR SURGERY LLC is 1386724169

Main info

Organization
Name
LAWNWOOD CARDIOVASCULAR SURGERY LLC
NPI
1386724169
Phone
(772) 465-8100
Address
2100 NEBRASKA AVE
Authorized Official
WILLIAM TEDRICK JOHNSON VICE PRESIDENT
Enumeration Date
16 October 2006
Last Update Date
1 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for LAWNWOOD CARDIOVASCULAR SURGERY LLC

  • 2100, Nebraska Avenue, Glidden Park, Fort Pierce, St. Lucie County, Florida, 34950, United States

    SUITE 202

    FORT PIERCE, FL 349504704

    Phone: (772) 465-8100

    Fax: (772) 465-8689

    Type: Location

  • 2000 HEALTH PARK DR

    BRENTWOOD, TN 370274525

    Phone: (615) 372-5426

    Type: Mailing

  • 2100 NEBRASKA AVE STE 201

    FORT PIERCE, FL 349504832

    Phone: (772) 465-8100

    Fax: (772) 465-8689

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070110000554OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34950)

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Reviews

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Frequently asked questions

Is there an official ID for LAWNWOOD CARDIOVASCULAR SURGERY LLC in U.S. healthcare records?
The official identifier for LAWNWOOD CARDIOVASCULAR SURGERY LLC is NPI 1386724169.
Is LAWNWOOD CARDIOVASCULAR SURGERY LLC still an active registrant?
LAWNWOOD CARDIOVASCULAR SURGERY LLC carries an active NPI according to the public dataset.
How would a patient describe LAWNWOOD CARDIOVASCULAR SURGERY LLC's focus?
For LAWNWOOD CARDIOVASCULAR SURGERY LLC, the primary taxonomy reads as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is LAWNWOOD CARDIOVASCULAR SURGERY LLC registered?
Use Fort Pierce, Florida as the headline location for LAWNWOOD CARDIOVASCULAR SURGERY LLC here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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