Advanced Surgical & Physician Assistant Services Inc
NPI 1053043059ActiveOrganization· Physician Assistant, Surgical· Indialantic, FL
Physician Assistant, Surgical in Indialantic, Florida, registered in NPPES in June 2022. The authorized official on file is Dale P. Greyslak, PAC, Owner.
Overview
| NPI | 1053043059 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2022 |
| Last updated in NPPES | Jun 28, 2022 |
| Certified by provider | Jun 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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