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Surgical Supply Solutions

NPI 1033783576ActiveOrganization· Physician Assistant, Surgical· O Fallon, MO

Physician Assistant, Surgical in O Fallon, Missouri, registered in NPPES in May 2021. The authorized official on file is Michael Edwin Farrell, CFA, Owner.

Overview

NPI1033783576
StatusActive
Entity typeOrganization
NPI issuedMay 19, 2021
Last updated in NPPESJan 31, 2023
Certified by providerJan 31, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other surgical physician assistants in O Fallon

All surgical physician assistants in Missouri