Shaw Plastic Surgery, LLC
NPI 1174973606ActiveOrganization· Plastic Surgery· Wichita, KS
Plastic Surgery in Wichita, Kansas, registered in NPPES in June 2016. The authorized official on file is Beth Gustaf, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174973606 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2016 |
| Last updated in NPPES | Jun 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (KS) |
|---|
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