Southern Urology LLC
NPI 1174232532ActiveOrganization· Urology· Lafayette, LA
Urology in Lafayette, Louisiana, registered in NPPES in November 2022, part of Southern Urology LLC. The authorized official on file is Mark Robert Eldredge, Ao.
Overview
| NPI | 1174232532 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southern Urology LLC |
| NPI issued | Nov 15, 2022 |
| Last updated in NPPES | Mar 13, 2023 |
| Certified by provider | Mar 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
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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