Addison Surgical Services, PLLC
NPI 1104342948ActiveOrganization· Physician Assistant, Surgical· Addison, TX
Physician Assistant, Surgical in Addison, Texas, registered in NPPES in August 2017. The authorized official on file is Andrew Park, MD, President.
Overview
| NPI | 1104342948 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2017 |
| Last updated in NPPES | Aug 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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