Fayetteville Surgical Assoc PA
NPI 1013084631ActiveOrganization· Specialist· Fayetteville, AR
Specialist in Fayetteville, Arkansas, registered in NPPES in November 2006. The authorized official on file is Gwen S. Mathis, Clinic Administrator.
Overview
| NPI | 1013084631 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2006 |
| Last updated in NPPES | Jul 22, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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