Southeast Orthopedic Specialists, LLC
NPI 1134820103ActiveOrganization· Orthopaedic Surgery· St Augustine, FL
Orthopaedic Surgery in St Augustine, Florida, registered in NPPES in March 2023. The authorized official on file is Brett Puckett, President.
Overview
| NPI | 1134820103 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2023 |
| Last updated in NPPES | Mar 15, 2023 |
| Certified by provider | Mar 15, 2023 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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