Southern Utah Surgical and Laser Aesthetics LLC
NPI 1114164365ActiveOrganization· Specialist· St George, UT
Specialist in St George, Utah, registered in NPPES in January 2009. The authorized official on file is Benjamin Carter, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114164365 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2009 |
| Last updated in NPPES | Feb 1, 2022 |
| Certified by provider | Feb 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Dermatology | 207N00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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