General and Vascular Surgery of Northwest Alabma, Inc.
NPI 1154639227ActiveOrganization· Surgery, Vascular Surgery· Russellville, AL
Surgery, Vascular Surgery in Russellville, Alabama, registered in NPPES in September 2010. The authorized official on file is Jeffrey Manord, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154639227 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2010 |
| Last updated in NPPES | Mar 29, 2022 |
| Certified by provider | Mar 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 23436 | AL |
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 (AL) |
|---|
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