Plastics Clinic LLC
NPI 1184318826ActiveOrganization· Plastic Surgery· South Jordan, UT
Plastic Surgery in South Jordan, Utah, registered in NPPES in June 2023. The authorized official on file is Tim Prusse, Manager.
Overview
| NPI | 1184318826 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2023 |
| Last updated in NPPES | Oct 31, 2023 |
| Certified by provider | Oct 31, 2023 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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