OrganizationActive
Tommy L Louisville MD PA
NPI 1295143295 · Non-Pharmacy Dispensing Site · Lakeland, FL
Tommy L Louisville MD PA is a Non-Pharmacy Dispensing Site organization in Lakeland, FL (NPI 1295143295).
Provider details
- NPI number
- 1295143295
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- ME46305 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1801 Crystal Lake Dr
Lakeland, FL 33801-5979
Phone: (863) 937-8886
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- First Help Urgent Care Clinic Lakeland
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2014-07-23
Frequently asked questions
- What is Tommy L Louisville MD PA's NPI number?
- Tommy L Louisville MD PA's National Provider Identifier (NPI) is 1295143295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tommy L Louisville MD PA?
- Tommy L Louisville MD PA is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Tommy L Louisville MD PA located?
- Tommy L Louisville MD PA's practice location on file with NPPES is 1801 Crystal Lake Dr, Lakeland, FL 33801-5979.
- What is Tommy L Louisville MD PA's phone number?
- The practice phone number listed in the NPPES registry for Tommy L Louisville MD PA is (863) 937-8886.
- Who is the authorized official for Tommy L Louisville MD PA?
- The authorized official listed on Tommy L Louisville MD PA's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tommy L Louisville MD PA's NPI active?
- Yes — Tommy L Louisville MD PA's NPI (1295143295) is active in the NPPES registry as of the last update on 2014-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.