Prosperity PA, LLC
NPI 1164112207ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Falls Church, VA
Surgery, Plastic and Reconstructive Surgery in Falls Church, Virginia, registered in NPPES in May 2023. The authorized official on file is Daniel Glynn, Counsel.
Overview
| NPI | 1164112207 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2023 |
| Last updated in NPPES | May 11, 2023 |
| Certified by provider | May 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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