Mksc Inc.
NPI 1003218397ActiveOrganization· Orthopaedic Surgery· Triadelphia, WV
Orthopaedic Surgery in Triadelphia, West Virginia, registered in NPPES in September 2014. The authorized official on file is Dante A. Marra, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1003218397 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2014 |
| Last updated in NPPES | Apr 5, 2024 |
| Certified by provider | Apr 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 19164 | WV |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); DME Supplier - Physician - Orthopedic/Orthopedic Surgery (WV); Part B Supplier - Clinic/Group Practice (WV) |
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Other Orthopaedic Surgery providers in Triadelphia
- 1295807725