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Cutting Edge Surgical Services, LLC

NPI 1063233583ActiveOrganization· Physician Assistant, Surgical· Saint Louis, MO

Physician Assistant, Surgical in Saint Louis, Missouri, registered in NPPES in October 2024. The authorized official on file is James Thacker, Rnfa.

Overview

NPI1063233583
StatusActive
Entity typeOrganization
NPI issuedOct 17, 2024
Last updated in NPPESJun 26, 2026
Certified by providerJun 26, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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

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