Advantage Surgical and Wound Care Massachusetts PC
NPI 1164039152ActiveOrganization· Surgery· Revere, MA
Surgery in Revere, Massachusetts, registered in NPPES in September 2020. The authorized official on file is John Griffin, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164039152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2020 |
| Last updated in NPPES | Sep 24, 2020 |
| Certified by provider | Sep 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Emergency Medicine, Undersea and Hyperbaric Medicine | 207PE0005X | — | — |
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 (MA) |
|---|