Southern Urology LLC
NPI 1104534965ActiveOrganization· Urology· New Iberia, LA
Urology in New Iberia, Louisiana, registered in NPPES in November 2022, part of Southern Urology LLC. The authorized official on file is Mark Robert Eldredge, Ao. Enrolled in Medicare as dme supplier - physician - urology.
Overview
| NPI | 1104534965 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southern Urology LLC |
| NPI issued | Nov 10, 2022 |
| Last updated in NPPES | Apr 2, 2024 |
| Certified by provider | Apr 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
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 DME Supplier - Physician - Urology (LA) |
|---|
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