Goose Creek Family Practice, P.C.
NPI 1134407356ActiveOrganization· Clinic/Center· Sheridan, WY
Clinic/Center in Sheridan, Wyoming, registered in NPPES in July 2011. The authorized official on file is Debra Ann Kawulok, FNP-C, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134407356 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2011 |
| Last updated in NPPES | Nov 9, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 11988.1019 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WY) |
|---|
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