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NPI 1093152118ActiveOrganization· Plastic Surgery· Rockford, IL
Plastic Surgery in Rockford, Illinois, registered in NPPES in May 2013. The authorized official on file is Scott D. Carter, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093152118 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2013 |
| Last updated in NPPES | Feb 13, 2026 |
| Certified by provider | Feb 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 036124349 | IL |
| Clinic/Center, Ambulatory Surgical | 261QA1903X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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