Blackrock Orthopedic Specialists LLC
NPI 1104570084ActiveOrganization· Orthopaedic Surgery· Meridian, ID
Orthopaedic Surgery in Meridian, Idaho, registered in NPPES in February 2022. The authorized official on file is Corbett Dee Winegar, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104570084 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2022 |
| Last updated in NPPES | Feb 18, 2022 |
| Certified by provider | Feb 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
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 (ID) |
|---|
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