ENT Surgical Group, PLLC
NPI 1023734878ActiveOrganization· Otolaryngology· Madison, MS
Otolaryngology in Madison, Mississippi, registered in NPPES in October 2022. The authorized official on file is Kyle Gordon, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023734878 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2022 |
| Last updated in NPPES | Oct 13, 2022 |
| Certified by provider | Oct 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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