St Vincents Multispecialty Group Inc
NPI 1205489077ActiveOrganization· Podiatrist· Bridgeport, CT
Podiatrist in Bridgeport, Connecticut, registered in NPPES in July 2019, part of St Vincents Multispecialty Group Inc. The authorized official on file is Llatoya Gayle, Credentialing Specialist.
Overview
| NPI | 1205489077 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St Vincents Multispecialty Group Inc |
| NPI issued | Jul 22, 2019 |
| Last updated in NPPES | Jul 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | — | — |
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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