Sps Practice Group, LLC
NPI 1053046888ActiveOrganization· Plastic Surgery· Columbia, MO
Plastic Surgery in Columbia, Missouri, registered in NPPES in July 2022. The authorized official on file is Leslie Shock, MD, Owner.
Overview
| NPI | 1053046888 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2022 |
| Last updated in NPPES | Aug 15, 2023 |
| Certified by provider | Jan 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
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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