Bundrick and O'Neal Plastic Surgery (Amc)
NPI 1093776429ActiveOrganization· Plastic Surgery· Shreveport, LA
Plastic Surgery in Shreveport, Louisiana, registered in NPPES in March 2006. The authorized official on file is Jill Patterson, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093776429 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2006 |
| Last updated in NPPES | Jun 27, 2022 |
| Certified by provider | Jun 27, 2022 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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