Countryside Dermatology and Laser Center Inc
NPI 1194914978ActiveOrganization· Dermatology· Clearwater, FL
Dermatology in Clearwater, Florida, registered in NPPES in October 2007. The authorized official on file is Susan S. Roper, M.D., Owner.
Overview
| NPI | 1194914978 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2007 |
| Last updated in NPPES | Oct 17, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 46341 | FL |
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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