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Eastern Shore Care Services, P.C.

NPI 1164614137ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Fairhope, AL

Surgery, Plastic and Reconstructive Surgery in Fairhope, Alabama, registered in NPPES in August 2007. The authorized official on file is Valerie Ann Larson-Lohr, Business Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1164614137
StatusActive
Entity typeOrganization
NPI issuedAug 14, 2007
Last updated in NPPESSep 17, 2025
Certified by providerSep 17, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Plastic and Reconstructive Surgery Primary2086S0122X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AL)

Medicare sources and data years