Cathedral Ledge Aesthetics and Wellness
NPI 1083487599ActiveOrganization· General Practice· Conway, NH
General Practice in Conway, New Hampshire, registered in NPPES in November 2023. The authorized official on file is Sohaib Siddiqui, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083487599 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2023 |
| Last updated in NPPES | Jul 10, 2026 |
| Certified by provider | Jul 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NH) |
|---|
Other General Practice providers in Conway
- 1548372758